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Afebrile multi-valve infective endocarditis caused by Lactococcus garvieae: A case report and literature review

Authors
Suh, Y.Kim, M.J.Jung, J.S.Chong, Y.P.Kim, C.H.Kang, Y.Sohn, J.W.Yoon, Y.K.
Issue Date
2016
Publisher
Japanese Society of Internal Medicine
Keywords
Bacteremia; Endocarditis; Heart valve prosthesis; Lactococcus garvieae
Citation
Internal Medicine, v.55, no.8, pp.1011 - 1015
Indexed
SCIE
SCOPUS
Journal Title
Internal Medicine
Volume
55
Number
8
Start Page
1011
End Page
1015
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/91374
DOI
10.2169/internalmedicine.55.5935
ISSN
0918-2918
Abstract
Lactococcus garvieae is considered to be a rare pathogen with low virulence in humans. We herein experienced an unusual case of multi-valve infective endocarditis caused by L. garvieae in an elderly woman who had undergone bioprosthetic mitral valve replacement due to severe mitral stenosis with rheumatic etiology. The patient was successfully treated with cardiac surgery after teicoplanin antimicrobial therapy failure followed by ceftriaxone treatment. L. garvieae was confirmed as the pathogen through 16S rRNA sequencing. To the best of our knowledge, this is the first case to indicate an effective treatment for infective endocarditis caused by L. garvieae in the Republic of Korea. © 2016 The Japanese Society of Internal Medicine.
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