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[Endocarditis caused by Actinobacillus actinomycetemcomitans].

C de Ancos Aracil1, V Estrada Pérez, A Alvarez de Arcaya

  • 1Servicio de Medicina Interna II, Hospital Clínico Universitario San Carlos, Madrid.

Anales De Medicina Interna (Madrid, Spain : 1984)
|February 25, 2000
PubMed
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HACEK endocarditis is rare and often severe. This case highlights successful medical treatment for Actinobacillus actinomycetemcomitans endocarditis, deviating from typical HACEK presentations.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Microbiology

Background:

  • * HACEK (Haemophilus, Aggregatibacter, Cardiobacterium, Eikenella, Kingella) endocarditis is uncommon.
  • * Typically presents as subacute endocarditis with significant complications like large vegetations, peripheral emboli, and heart failure, often necessitating valve replacement.

Observation:

  • * A clinical case of endocarditis caused by Actinobacillus actinomycetemcomitans (AA) is presented.
  • * This specific case did not exhibit the characteristic clinical or echocardiographic findings typically associated with HACEK group endocarditis.

Findings:

  • * Actinobacillus actinomycetemcomitans, a member of the HACEK group, caused endocarditis.
  • * The patient's condition resolved successfully with appropriate medical management.

Related Experiment Videos

  • * The clinical course deviated from the expected severe presentation of HACEK endocarditis.
  • Implications:

    • * This case suggests that not all HACEK endocarditis cases follow the typical severe trajectory.
    • * Successful medical treatment is a viable option, even in cases caused by Actinobacillus actinomycetemcomitans.
    • * It broadens the understanding of treatment strategies and outcomes for HACEK-related infective endocarditis.