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Published on: January 7, 2019
Mechanical valve endocarditis caused by Gemella morbillorum
Ghanem Al-Hujailan1, Philippe Lagacé-Wiens1
1Department of Medical Microbiology and Infectious Disease, University of Manitoba and Health Sciences Centre, 5th Floor Basic Medical Sciences Building, 730 William Avenue, Winnipeg, Manitoba R3E 0W3, Canada.
Abstract:
As the usual pathogen spectrum of a late-onset (>12 month post-operatively) prosthetic valve endocarditis is similar to normal valve endocarditis, with the exception of coagulase-negative staphylococcus, a prosthetic valve endocarditis caused by unusual bacterial pathogens represents a therapeutic and diagnostic dilemma. The lack of well established criteria or clinical experience for the management of such infections makes therapy and prognosis difficult to determine. A case of successfully treated Gemella morbillorum prosthetic valve endocarditis and a review of the relevant literature are presented.
Insights
Prosthetic valve endocarditis from rare bacteria like Gemella morbillorum poses treatment challenges. This case highlights successful management and reviews literature for similar prosthetic valve endocarditis infections.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Late-onset prosthetic valve endocarditis (>12 months post-op) typically involves common pathogens.
- Unusual bacterial causes of prosthetic valve endocarditis present diagnostic and therapeutic difficulties.
- Established criteria for managing prosthetic valve endocarditis from rare pathogens are lacking.
Observation:
- A patient presented with prosthetic valve endocarditis caused by Gemella morbillorum.
- This represents an unusual bacterial pathogen in the context of prosthetic valve endocarditis.
- The infection occurred more than 12 months after valve replacement surgery.
Findings:
- Successful treatment of Gemella morbillorum prosthetic valve endocarditis was achieved.
- A comprehensive review of the relevant medical literature was conducted.
- The case and literature review provide insights into managing rare prosthetic valve endocarditis.
Implications:
- This case expands the understanding of treating prosthetic valve endocarditis caused by uncommon bacteria.
- It offers a potential therapeutic approach for similar challenging prosthetic valve endocarditis cases.
- Further research is needed to establish definitive management guidelines for rare prosthetic valve endocarditis.
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