Enterococcus gallinarum Causing Native Valve Endocarditis

  • Maria Teresa Almeida Dias Department of Internal Medicine, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • José de Almeida Department of Cardiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Arsénio Santos Department of Internal Medicine, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Rui M Santos Department of Internal Medicine, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Armando Carvalho Department of Internal Medicine, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal

Keywords

Endocarditis, Enterococcus gallinarum, heart failure, antibiotic

Abstract

Endocarditis due to Enterococcus gallinarum is a rare condition, usually affecting older patients. The most frequent source of infection is the gastrointestinal or genitourinary tracts; it frequently involves the aortic valve and tends to produce heart failure. We present a case of Enterococcus gallinarum endocarditis developing on a normal native heart valve.
Enterococcus gallinarum is intrinsically resistant to vancomycin. Antibiotic susceptibility patterns indicate that most isolates are penicillin and ampicillin-susceptible.

VIEW THE ENTIRE ARTICLE

References

  • Murray BE. Vancomycin-resistant enterococcal infections. N Engl J Med 2000;342:710–721.

  • Toye B, Shymanski J, Bobrowska M, Woods W, et al. Clinical and epidemiological significance of enterococci intrinsically resistant to vancomycin (possessing the vanC genotype). J Clin Microbiol 1997;35:3166–3170.

  • Swampillai J, Liang M, Fisher R, Devlin G. Enterococcus gallinarum causing native valve endocarditis and aorto-atrial fistula: a case report and literature review. Echocardiography 2012;29:873–875.

  • Megran DW. Enterococcal endocarditis. Clin Infect Dis 1992;15:63–71.

  • McDonald JR, Olaison L, Anderson DJ, et al. Enterococcal endocarditis: 107 cases from the international collaboration on endocarditis merged database. Am J Med 2005;118:759–766.
  • Published: 2019-03-11

    Issue: Vol 6 No 3 (view)

    Section: Articles

    How to cite:
    1.
    Dias MTA, de Almeida J, Santos A, Santos RM, Carvalho A. Enterococcus gallinarum Causing Native Valve Endocarditis. EJCRIM 2019;6 doi:10.12890/2019_001054.

    Most read articles by the same author(s)

    1 2 > >>