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Gemella morbillorum endocarditis.

Hussam Al Soub1, Sittana S El-Shafie, Abdel-Latif M Al-Khal

  • 1Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar. hussamalsoub@yahoo.com

Saudi Medical Journal
|October 28, 2003
PubMed
Summary
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This case report details Gemella morbillorum endocarditis on a normal mitral valve, complicated by leaflet perforation requiring repair. Gemella morbillorum endocarditis is likely underdiagnosed.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Microbiology

Background:

  • Gemella morbillorum (G. morbillorum) is an uncommon bacterium.
  • Endocarditis is the most frequent clinical manifestation of G. morbillorum infection.
  • This condition is often under-recognized and may be underreported.

Observation:

  • A case of subacute G. morbillorum endocarditis affecting a previously normal mitral valve is presented.
  • The infection led to perforation of the posterior mitral leaflet.
  • Surgical intervention, specifically valve repair, was necessary due to the complication.

Findings:

  • The study highlights a rare instance of G. morbillorum causing endocarditis in a patient with healthy heart valves.
  • Diagnostic challenges associated with identifying G. morbillorum are discussed.

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  • The report contributes to the limited literature on this specific pathogen in endocarditis.

    • Implications:

    • Increased awareness of G. morbillorum endocarditis is crucial for timely diagnosis and treatment.
    • Further research into the pathogenesis and diagnostic methods for G. morbillorum infections is warranted.
    • This case underscores the importance of considering uncommon pathogens in infective endocarditis, even in patients without predisposing cardiac conditions.