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Enterococcus gallinarum endocarditis in a diabetic patient.
Massimiliano Ortu1, Eugenia Gabrielli, Ilaria Caramma
1Department of Clinical Science, Infectious Diseases Section, Luigi Sacco Hospital, University of Milan, G.B. Grassi, 74 Street, 20157 Milan, Italy.
Diabetes Research and Clinical Practice
|May 7, 2008
Summary
Infective endocarditis (IE) is rising in diabetic patients. This case highlights a rare Enterococcus gallinarum IE in an elderly diabetic woman, successfully treated despite antibiotic resistance challenges.
Area of Science:
- Cardiology
- Infectious Diseases
- Endocrinology
Background:
- Diabetes mellitus (DM) prevalence is increasing globally.
- Infective endocarditis (IE) rates are rising, particularly in patients with diabetes.
- Enterococcus gallinarum is an uncommon cause of IE, especially on native valves.
Observation:
- A rare case of Enterococcus gallinarum endocarditis on a normal native heart valve is presented.
- The patient was an elderly woman with a history of diabetes mellitus.
- The microorganism exhibited resistance factors, complicating treatment options.
Findings:
- Successful treatment of Enterococcus gallinarum IE was achieved with appropriate antibiotic therapy.
- The patient's recovery demonstrates the efficacy of tailored antibiotic regimens despite challenges.
- This case underscores the importance of considering rare pathogens in IE, especially in diabetic individuals.
Implications:
- Increased vigilance for IE in the growing diabetic population is warranted.
- Further research into optimal IE management strategies for diabetic patients is needed.
- This case provides valuable insights into managing IE caused by resistant Enterococcus gallinarum strains.
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