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Infective endocarditis due to the CDC group M6 bacillus
R C Rose1, A M Grossman, J W Giles
1Department of Medicine, St. Mary's Medical Center, Knoxville, TN.
Abstract:
Although staphylococcal endocarditis has occasionally been associated with a TTP-like syndrome, a similar syndrome has not been reported with endocarditis due to aerobic gram-negative rods. We report a case of subacute bacterial endocarditis with a thrombocytopenic syndrome that at first resembled TTP which was due to an unusual gram-negative rod. This case emphasizes the need for repeated examination of the bacteremic patient to detect the changing murmurs of endocarditis.
Insights
A rare case of subacute bacterial endocarditis caused by an unusual gram-negative rod presented with a thrombocytopenic syndrome mimicking thrombotic thrombocytopenic purpura (TTP). This highlights the importance of vigilant patient monitoring for evolving cardiac murmurs.
Area of Science:
- Infectious Diseases
- Hematology
- Cardiology
Background:
- Staphylococcal endocarditis is occasionally linked to thrombotic thrombocytopenic purpura (TTP)-like syndromes.
- Endocarditis caused by aerobic gram-negative rods has not been previously associated with similar syndromes.