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Klebsiella oxytoca Endocarditis With Complete Heart Block
Saad Ullah1, Omar Elbita1, Mahmoud Abdelghany2
1Comemaugh Memorial Medical Center, Johnstown, PA, USA.
Journal of Investigative Medicine High Impact Case Reports
|September 17, 2016
Summary
Klebsiella oxytoca endocarditis is a rare but serious condition. This case highlights its potential to cause stroke, sepsis, and heart block, emphasizing the need for prompt diagnosis and treatment.
Area of Science:
- Infectious Diseases
- Cardiology
- Bacteriology
Background:
- Gram-negative bacterial endocarditis accounts for 5% of all cases.
- Klebsiella species are uncommon causes of native valve endocarditis.
- Klebsiella oxytoca is an extremely rare pathogen in endocarditis, often linked to adverse outcomes.
Purpose of the Study:
- To report a rare case of Klebsiella oxytoca endocarditis.
- To describe the clinical presentation and complications of this infection.
Main Methods:
- Case report of an elderly male patient.
- Review of clinical presentation, diagnostic findings, and treatment course.
Main Results:
- The patient initially presented with stroke.
- Subsequently developed sepsis and heart block.
- These complications were secondary to Klebsiella oxytoca endocarditis.
Conclusions:
- Klebsiella oxytoca endocarditis, though rare, can lead to severe complications including stroke, sepsis, and heart block.
- This case underscores the importance of considering rare pathogens in infective endocarditis, particularly in elderly patients with complex presentations.
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