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Granulicatella elegans native valve infective endocarditis: case report and review
Jaffar A Al-Tawfiq1, Ghassan Kiwan, Haithem Murrar
1Internal Medicine Services Division, PO Box 76, Dhahran Health Center, Saudi Aramco Medical Services Organization, Saudi Aramco, Dhahran 31311, Saudi Arabia. jaffar.tawfiq@aramco.com
Abstract:
Granulicatella elegans is a fastidious organism that is rarely implicated as a cause of infective endocarditis. Here, we describe a patient with mitral valve prolapse who developed G. elegans endocarditis. The organism was isolated from blood cultures and the patient had mitral valvuloplasty and repair, and completed a course of 6 weeks of intravenous antibiotics with no sequela.
Insights
Granulicatella elegans, a rare cause of infective endocarditis, was identified in a patient with mitral valve prolapse. Successful treatment involved surgery and antibiotics, with no lasting complications.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Infective endocarditis is a serious infection affecting heart valves.
- Granulicatella elegans is a nutritionally deficient bacterium, rarely associated with endocarditis.
- Mitral valve prolapse is a common cardiac condition that can predispose individuals to endocarditis.
Observation:
- A case of infective endocarditis caused by Granulicatella elegans in a patient with pre-existing mitral valve prolapse is presented.
- The patient presented with symptoms indicative of endocarditis.
- Granulicatella elegans was successfully isolated from blood cultures.
Findings:
- The patient underwent mitral valvuloplasty and repair to address the damaged valve.
- A comprehensive treatment course of 6 weeks of intravenous antibiotics was administered.
- The patient experienced a full recovery with no sequelae following treatment.
Implications:
- This case highlights the importance of considering rare pathogens like Granulicatella elegans in infective endocarditis, especially in patients with underlying valve disease.
- Prompt diagnosis and appropriate management, including surgical intervention and targeted antibiotic therapy, are crucial for favorable outcomes.
- Further research may be warranted to understand the specific factors contributing to Granulicatella elegans endocarditis in certain patient populations.
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Endocarditis II: Clinical Features of Infective Endocarditis
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Endocarditis III: Medical Management
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