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

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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