Fatal Enterococcus durans aortic valve endocarditis: a case report and review of the literature. BMJ Case Rep 2012 Jun 08;2012
Date
06/12/2012Pubmed ID
22684831Pubmed Central ID
PMC4542972DOI
10.1136/bcr-02-2012-5855Scopus ID
2-s2.0-84864645923 (requires institutional sign-in at Scopus site) 17 CitationsAbstract
Most enterococcal endocarditis is caused by Enterococcus faecalis and Enterococcus faecium. Enterococcus durans is a rare member of non-faecalis, non-faecium enterococcal species and is found in the intestines of animals. E durans endocarditis is a very rare infection-only two cases of endocarditis in humans have been reported in the literature-and usually associated with good outcomes when treated with appropriate antibiotics. We report the first case of fatal E durans endocarditis. This patient had end-stage liver disease with associated compromised immune status that likely contributed to the progression of disease in spite of appropriate antibiotic coverage and clearance of bacteraemia.
Author List
Vijayakrishnan R, Rapose AAuthor
Rajakrishnan Vijayakrishnan MD Associate Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Aortic ValveDiagnosis, Differential
Echocardiography, Transesophageal
Endocarditis, Bacterial
Enterococcus
Fatal Outcome
Follow-Up Studies
Gram-Positive Bacterial Infections
Humans
Immunocompromised Host
Liver Failure
Male
Middle Aged