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Bacillus cereus endocarditis. A case report

C S Block, M L Levy, V U Fritz

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |April 8, 1978
    PubMed
    Summary
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    Bacillus cereus rarely causes infective endocarditis. This case report details a patient with B. cereus endocarditis following prosthetic mitral valve replacement, highlighting diagnostic challenges.

    Area of Science:

    • Infectious Diseases
    • Cardiology
    • Microbiology

    Background:

    • Bacillus cereus is an opportunistic pathogen.
    • Infective endocarditis is a serious infection of the heart lining or valves.
    • Previous literature lacks documented cases of infective endocarditis caused by B. cereus.

    Observation:

    • A 51-year-old female patient with a history of prosthetic mitral valve replacement developed infective endocarditis.
    • The patient presented with symptoms indicative of endocarditis, and blood cultures identified Bacillus cereus.

    Findings:

    • This case represents the first documented instance of infective endocarditis caused by Bacillus cereus.
    • The diagnosis was complicated by the interpretation of B. cereus bacteremia and delayed identification.

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  • Bacillus cereus exhibits inherent antimicrobial resistance, posing treatment challenges.

    • Implications:

    • This case expands the spectrum of clinical manifestations associated with Bacillus cereus infections.
    • It underscores the importance of considering B. cereus in cases of endocarditis, especially in patients with prosthetic valves.
    • Further research is needed to understand the pathogenicity of B. cereus in endocarditis and to guide treatment strategies.