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Endocarditis caused by Actinobacillus actinomycetemcomitans.

Y Siegman-Igra, D Schwartz, O Ophir

European Journal of Clinical Microbiology

|December 1, 1984

Summary

The first reported cases of Actinobacillus actinomycetemcomitans endocarditis in Israel involved two patients with distinct risk factors. Early detection and appropriate antibiotic therapy are crucial for successful treatment outcomes.

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Area of Science:

Cardiology
Infectious Diseases
Microbiology

Background:

Actinobacillus actinomycetemcomitans is a rare cause of infective endocarditis.
This report details the first two cases identified in Israel, highlighting the organism's potential to cause severe cardiac infections.

Observation:

Two patients presented with endocarditis: a 67-year-old female with mitral insufficiency and a 48-year-old male with a bioprosthetic mitral valve.
Blood cultures showed positive results for the organism after several days of incubation, indicating a challenging diagnosis.

Findings:

Successful treatment was achieved in the first patient using penicillin and an aminoglycoside.
The second patient's treatment is ongoing, underscoring the variable response to therapy.

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Implications:

These cases expand the understanding of Actinobacillus actinomycetemcomitans endocarditis epidemiology and clinical presentation.
Highlights the importance of considering this pathogen in endocarditis cases, especially in patients with specific cardiac conditions or risk factors.