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Polymicrobial infective endocarditis caused by Neisseria sicca and Haemophilus parainfluenzae
Nikoloz Koshkelashvili1, Mahek Shah1, J Nicolas Codolosa2
1Department of Medicine, Einstein Medical Center, Philadelphia, PA, United States.
Abstract:
Infective endocarditis is a common clinical problem in industrialized countries. Risk factors include abnormal cardiac valves, a history of endocarditis, intracardiac devices, prosthetic valves and intravenous drug use. We report a case of polymicrobial infective endocarditis in a 33 year-old female with a history chronic heroin use caused by Neisseria sicca and Haemophilus parainfluenzae. We believe the patient was exposed to these microbes by cleansing her skin with saliva prior to injection. Pairing a detailed history with the consideration of atypical agents is crucial in the proper diagnosis and management of endocarditis in patients with high-risk injection behaviors.
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