Infectious endocarditis due to Cardiobacterium hominis is an uncommon event, accounting for less than 2% of all cases of infectious endocarditis. The infection of the tricuspid valve as it is reported here is extremely rare. We report the case of a tricuspid endocarditis due to Cardiobacterium hominis in a 56 year-old man who was admitted to hospital with pelvic and scapular pain. The diagnosis was established through positive blood cultures and echographic detection of a large tricuspid vegetation. Despite efficient antibiotic therapy, valve replacement was required. The clinical course of Cardiobacterium endocarditis is usually subacute, and the diagnosis may therefore be delayed. This case emphasizes the shift between the poverty of clinical symptoms and severity of cardiac damages, what we could call the Cardiobacterium paradox.
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http://dx.doi.org/10.1684/abc.2016.1187 | DOI Listing |
Eur Heart J Case Rep
October 2024
Hôpital du Valais, Service de Cardiologie, Avenue Grand-Champsec 80, 1951 Sion, Switzerland.
JACC Case Rep
September 2024
Department of Medicine, Division of Cardiology, University of Washington, Seattle, Washington, USA.
A 38-year-old patient with a prosthetic aortic valve had weeks of fever and respiratory symptoms. Although endocarditis was suspected early, numerous blood cultures and echocardiograms failed to confirm the diagnosis. Key questions were: What is a broad differential diagnosis for the above symptoms? What is unique about diagnosing prosthetic valve endocarditis compared with native valve endocarditis? What other imaging modalities are useful for diagnosing prosthetic valve endocarditis when initial echocardiographic evaluation is negative? What organisms are classically implicated in "culture negative" infective endocarditis? Serial blood cultures and multimodal imaging, including cardiac positron emission computed tomography with 18F-fluorodeoxyglucose, lead to a diagnosis of prosthetic valve endocarditis with a HACEK () pathogen.
View Article and Find Full Text PDFCureus
July 2024
Pediatrics, AdventHealth Daytona Beach, Daytona Beach, USA.
, a (HACEK) organism, is commonly found in the oropharynx. Although it rarely causes endocarditis, it can pose a significant risk to young children. We report a case of endocarditis in a previously healthy 15-month-old male who initially presented with symptoms of an upper respiratory infection.
View Article and Find Full Text PDFHeartRhythm Case Rep
June 2024
Cardiology Division, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
J Clin Microbiol
May 2024
Department of Pathology and Laboratory Medicine, The Pennsylvania State University, Hershey, Pennsylvania, USA.
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