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Published on: January 7, 2019
Bioprosthetic Aortic Valve Endocarditis in Association with Enterococcus durans
Abstract:
Enterococci are common organisms associated with endocarditis, but infection by Enterococcus durans is very rare. To our knowledge, only 3 cases have been reported in the medical literature, and all 3 have involved native valves. Here we publish the first reported case (to our knowledge) of E. durans endocarditis in association with a bioprosthetic aortic valve. After the organism and its antibiotic susceptibility were identified, the 74-year-old male patient was treated successfully with teicoplanin and gentamicin, over a course of 6 weeks.
Insights
Infective endocarditis caused by Enterococcus durans is rare. This report details the first known case of E. durans endocarditis on a bioprosthetic aortic valve, successfully treated with antibiotics.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Enterococci are frequently implicated in infective endocarditis.
- Infection by Enterococcus durans is exceptionally rare in clinical settings.
Observation:
- This study reports the first known case of Enterococcus durans endocarditis involving a bioprosthetic aortic valve.
- Previously reported cases exclusively involved native heart valves.
Findings:
- The patient, a 74-year-old male, presented with E. durans endocarditis.
- Antibiotic susceptibility testing guided successful treatment with teicoplanin and gentamicin over six weeks.
Implications:
- This case expands the understanding of E. durans as a pathogen in complex cardiac infections.
- Highlights the importance of considering rare organisms in prosthetic valve endocarditis.
- Demonstrates effective antibiotic regimens for this rare condition.
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Endocarditis I: Introduction
Endocarditis III: Medical Management
Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis IV: Nursing Management
Rheumatic Heart Disease I: Introduction
Aortic Regurgitation I: Introduction

