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Infective endocarditis due to an unusual serotype of Salmonella
1Department of Microbiology, BJ Medical College, Pune.
Indian Heart Journal
|August 23, 2001
Abstract:
Salmonellae are a rare cause of infective endocarditis. We report a case in which Salmonella enterica serotype Worthington was isolated from a case of endocarditis. The isolate was resistant to ampicillin, gentamicin, amikacin and chloramphenicol and sensitive to ciprofloxacin and cefotaxime.
Insights
Salmonellae rarely cause infective endocarditis. A Salmonella enterica serotype Worthington case demonstrated resistance to common antibiotics but remained sensitive to ciprofloxacin and cefotaxime.
Area of Science:
- Infectious Diseases
- Microbiology
- Cardiology
Background:
- Infective endocarditis is a serious infection affecting heart valves.
- Salmonellae are uncommon pathogens in infective endocarditis cases.
Observation:
- A rare case of infective endocarditis caused by Salmonella enterica serotype Worthington is presented.
- The clinical presentation and microbiological findings of this specific Salmonella serotype are detailed.
Findings:
- The isolated Salmonella Worthington strain exhibited multidrug resistance.
- Resistance was noted against ampicillin, gentamicin, amikacin, and chloramphenicol.
- The isolate remained susceptible to ciprofloxacin and cefotaxime, indicating potential therapeutic options.
Implications:
- This case highlights the importance of considering Salmonella in endocarditis, especially with unusual resistance patterns.
- Antimicrobial susceptibility testing is crucial for guiding treatment of Salmonella endocarditis.
- Ciprofloxacin and cefotaxime may be effective alternatives for treating infections caused by resistant Salmonella strains.