Infective endocarditis caused by in a patient with bicuspid aortic valve: A case report

Autor: Gianluca Dini, Alberto Verrotti, Elisabetta Girella, Francesca De Angelis, Mariagrazia Sardone, Paolo Gorello, Francesco Arcioni
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: SAGE Open Medical Case Reports, Vol 11 (2023)
Druh dokumentu: article
ISSN: 2050-313X
2050313X
DOI: 10.1177/2050313X231211707
Popis: Gemella haemolysans is a gram-positive coccus, and commensal of the upper respiratory tract and oral mucosa. In rare cases, it has been identified as an opportunistic pathogen in the development of endocarditis. Here, we describe a case of Gemella haemolysans endocarditis in a patient with bicuspid aortic valve. A 14-year-old male presented to our hospital with a 1-month history of intermittent fever. Gemella haemolysans was isolated from the patient’s blood cultures. Transesophageal echocardiography revealed severe aortic stenosis and a pseudoaneurysm of the mitral–aortic intervalvular fibrosa. The patient underwent aortic valve replacement with pseudoaneurysm of the mitral–aortic intervalvular fibrosa repair and remained symptom-free during follow-up. This case highlights the importance of considering atypical pathogens as causative agents of infective endocarditis.
Databáze: Directory of Open Access Journals