Granulicatella elegans: a rare cause of infective endocarditis A Case Report

Autor:	S. P. Gunasekara, S. Wijekoon, N. S. Chandrasiri, W. D. Galagedara, Y. L. C. P. Perera
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry Mortality rate medicine.disease Gastroenterology Identification system Granulicatella elegans medicine.anatomical_structure Infective endocarditis Internal medicine Mitral valve medicine Ceftriaxone Gentamicin business Gram-Positive Cocci medicine.drug
Zdroj:	Sri Lankan Journal of Infectious Diseases. 11:121
ISSN:	2448-9654 2012-8169
DOI:	10.4038/sljid.v11i2.8397
Popis:	Granulicatella elegans belongs to nutritionally variant streptococci (NVS) which are found as normal microbiota of humans. It can cause infective endocarditis (IE) with a high mortality rate due to frequent treatment failure. A young male with a history of migraine presented with a short history of fever, shortness of breath and a pansystolic murmur in the mitral area. Three blood cultures were positive for Gram positive cocci in chains. With echocardiographic findings of a cardiac vegetation, a definitive diagnosis of infective endocarditis was made according to Modified Duke Criteria. The culture isolate was identified as Granulicatella elegans by the VIETK® identification system. He was treated with intravenous (IV) ceftriaxone and gentamicin with subsequent improvement.
Databáze:	OpenAIRE
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