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Cardiobacterium hominis endocarditis

J F Spernoga, L Laskowski, J J Marr

    Southern Medical Journal
    |January 1, 1979
    PubMed
    Summary

    Cardiobacterium hominis endocarditis can occur with prosthetic heart valves. This rare bacterial infection requires consideration in culture-negative endocarditis cases, with penicillin as the recommended treatment.

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    Area of Science:

    • Infectious Diseases
    • Cardiology
    • Microbiology

    Background:

    • Endocarditis is a serious infection of the heart lining or valves.
    • Prosthetic heart valves are susceptible to microbial colonization and infection.
    • Cardiobacterium hominis is a rare gram-negative bacterium that can cause endocarditis.

    Observation:

    • A case of Cardiobacterium hominis endocarditis involving a prosthetic heart valve is presented.
    • This bacterium exhibits slow growth in blood cultures and is sensitive to antibiotics.
    • Review of 12 previously reported cases provides further clinical context.

    Findings:

    • Cardiobacterium hominis should be suspected in culture-negative endocarditis.
    • It is also a consideration when a gram-negative rod sensitive to all antibiotics is isolated.
    • Penicillin is identified as the primary treatment of choice.

    Implications:

    • Increased awareness of Cardiobacterium hominis can improve diagnosis in challenging endocarditis cases.
    • Early recognition and appropriate antibiotic therapy are crucial for patient outcomes.
    • This review aids clinicians in managing rare bacterial endocarditis, particularly with prosthetic valves.

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