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Related Experiment Videos

Lactobacillus plantarum endocarditis.

E Shinar, E Leitersdorf, R Yevin

    Klinische Wochenschrift
    |December 17, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Subacute bacterial endocarditis caused by Lactobacillus plantarum in a patient with rheumatic valve disease was successfully treated with valve replacement surgery after antibiotic therapy failed. This case highlights surgical intervention for refractory endocarditis.

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    Area of Science:

    • Cardiology
    • Infectious Diseases
    • Microbiology

    Background:

    • Rheumatic valve disease poses a risk for infective endocarditis.
    • Subacute bacterial endocarditis requires prompt diagnosis and effective treatment.

    Observation:

    • A 30-year-old male with rheumatic valve disease presented with subacute bacterial endocarditis.
    • The infection was caused by Lactobacillus plantarum, a rare pathogen in endocarditis.

    Findings:

    • Multiple antibiotic regimens were ineffective in eradicating the Lactobacillus plantarum infection.
    • Surgical valve replacement was ultimately required for successful treatment.

    Implications:

    • This case underscores the importance of considering surgical intervention when medical management of bacterial endocarditis fails.

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  • Lactobacillus species, though uncommon, should be considered in the differential diagnosis of culture-negative or refractory endocarditis.
  • Successful treatment of refractory infective endocarditis with valve replacement demonstrates the efficacy of surgical management in complex cases.