Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report
Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Usuda, Daisuke [verfasserIn] Kojima, Yuhei [verfasserIn] Ono, Rikuo [verfasserIn] Kaneoka, Yuki [verfasserIn] Kato, Masashi [verfasserIn] Sugawara, Yuto [verfasserIn] Shimizu, Runa [verfasserIn] Inami, Tomotari [verfasserIn] Nakajima, Eri [verfasserIn] Tsuge, Shiho [verfasserIn] Sakurai, Riki [verfasserIn] Kawai, Kenji [verfasserIn] Matsubara, Shun [verfasserIn] Tanaka, Risa [verfasserIn] Suzuki, Makoto [verfasserIn] Shimozawa, Shintaro [verfasserIn] Hotchi, Yuta [verfasserIn] Osugi, Ippei [verfasserIn] Katou, Risa [verfasserIn] Ito, Sakurako [verfasserIn] Mishima, Kentaro [verfasserIn] Kondo, Akihiko [verfasserIn] Mizuno, Keiko [verfasserIn] Takami, Hiroki [verfasserIn] Komatsu, Takayuki [verfasserIn] Nomura, Tomohisa [verfasserIn] Sugita, Manabu [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2024 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2024 |
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| Übergeordnetes Werk: |
Enthalten in: BMC infectious diseases - BioMed Central, 2001, 24(2024), 1 vom: 09. Sept. |
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| Übergeordnetes Werk: |
volume:24 ; year:2024 ; number:1 ; day:09 ; month:09 |
| Links: |
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| DOI / URN: |
10.1186/s12879-024-09825-9 |
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| Katalog-ID: |
SPR057260249 |
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| 245 | 1 | 0 | |a Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report |
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| 520 | |a Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. | ||
| 650 | 4 | |a Native valve endocarditis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Bacteremia |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Etiology |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Treatment |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Case report |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Kojima, Yuhei |e verfasserin |4 aut | |
| 700 | 1 | |a Ono, Rikuo |e verfasserin |4 aut | |
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| 700 | 1 | |a Kato, Masashi |e verfasserin |4 aut | |
| 700 | 1 | |a Sugawara, Yuto |e verfasserin |4 aut | |
| 700 | 1 | |a Shimizu, Runa |e verfasserin |4 aut | |
| 700 | 1 | |a Inami, Tomotari |e verfasserin |4 aut | |
| 700 | 1 | |a Nakajima, Eri |e verfasserin |4 aut | |
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| 700 | 1 | |a Sakurai, Riki |e verfasserin |4 aut | |
| 700 | 1 | |a Kawai, Kenji |e verfasserin |4 aut | |
| 700 | 1 | |a Matsubara, Shun |e verfasserin |4 aut | |
| 700 | 1 | |a Tanaka, Risa |e verfasserin |4 aut | |
| 700 | 1 | |a Suzuki, Makoto |e verfasserin |4 aut | |
| 700 | 1 | |a Shimozawa, Shintaro |e verfasserin |4 aut | |
| 700 | 1 | |a Hotchi, Yuta |e verfasserin |4 aut | |
| 700 | 1 | |a Osugi, Ippei |e verfasserin |4 aut | |
| 700 | 1 | |a Katou, Risa |e verfasserin |4 aut | |
| 700 | 1 | |a Ito, Sakurako |e verfasserin |4 aut | |
| 700 | 1 | |a Mishima, Kentaro |e verfasserin |4 aut | |
| 700 | 1 | |a Kondo, Akihiko |e verfasserin |4 aut | |
| 700 | 1 | |a Mizuno, Keiko |e verfasserin |4 aut | |
| 700 | 1 | |a Takami, Hiroki |e verfasserin |4 aut | |
| 700 | 1 | |a Komatsu, Takayuki |e verfasserin |4 aut | |
| 700 | 1 | |a Nomura, Tomohisa |e verfasserin |4 aut | |
| 700 | 1 | |a Sugita, Manabu |e verfasserin |4 aut | |
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10.1186/s12879-024-09825-9 doi (DE-627)SPR057260249 (SPR)s12879-024-09825-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Usuda, Daisuke verfasserin aut Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. Native valve endocarditis (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Etiology (dpeaa)DE-He213 Treatment (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Kojima, Yuhei verfasserin aut Ono, Rikuo verfasserin aut Kaneoka, Yuki verfasserin aut Kato, Masashi verfasserin aut Sugawara, Yuto verfasserin aut Shimizu, Runa verfasserin aut Inami, Tomotari verfasserin aut Nakajima, Eri verfasserin aut Tsuge, Shiho verfasserin aut Sakurai, Riki verfasserin aut Kawai, Kenji verfasserin aut Matsubara, Shun verfasserin aut Tanaka, Risa verfasserin aut Suzuki, Makoto verfasserin aut Shimozawa, Shintaro verfasserin aut Hotchi, Yuta verfasserin aut Osugi, Ippei verfasserin aut Katou, Risa verfasserin aut Ito, Sakurako verfasserin aut Mishima, Kentaro verfasserin aut Kondo, Akihiko verfasserin aut Mizuno, Keiko verfasserin aut Takami, Hiroki verfasserin aut Komatsu, Takayuki verfasserin aut Nomura, Tomohisa verfasserin aut Sugita, Manabu verfasserin aut Enthalten in BMC infectious diseases BioMed Central, 2001 24(2024), 1 vom: 09. Sept. (DE-627)326645381 (DE-600)2041550-3 1471-2334 nnns volume:24 year:2024 number:1 day:09 month:09 https://dx.doi.org/10.1186/s12879-024-09825-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 09 09 |
| spelling |
10.1186/s12879-024-09825-9 doi (DE-627)SPR057260249 (SPR)s12879-024-09825-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Usuda, Daisuke verfasserin aut Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. Native valve endocarditis (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Etiology (dpeaa)DE-He213 Treatment (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Kojima, Yuhei verfasserin aut Ono, Rikuo verfasserin aut Kaneoka, Yuki verfasserin aut Kato, Masashi verfasserin aut Sugawara, Yuto verfasserin aut Shimizu, Runa verfasserin aut Inami, Tomotari verfasserin aut Nakajima, Eri verfasserin aut Tsuge, Shiho verfasserin aut Sakurai, Riki verfasserin aut Kawai, Kenji verfasserin aut Matsubara, Shun verfasserin aut Tanaka, Risa verfasserin aut Suzuki, Makoto verfasserin aut Shimozawa, Shintaro verfasserin aut Hotchi, Yuta verfasserin aut Osugi, Ippei verfasserin aut Katou, Risa verfasserin aut Ito, Sakurako verfasserin aut Mishima, Kentaro verfasserin aut Kondo, Akihiko verfasserin aut Mizuno, Keiko verfasserin aut Takami, Hiroki verfasserin aut Komatsu, Takayuki verfasserin aut Nomura, Tomohisa verfasserin aut Sugita, Manabu verfasserin aut Enthalten in BMC infectious diseases BioMed Central, 2001 24(2024), 1 vom: 09. Sept. (DE-627)326645381 (DE-600)2041550-3 1471-2334 nnns volume:24 year:2024 number:1 day:09 month:09 https://dx.doi.org/10.1186/s12879-024-09825-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 09 09 |
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10.1186/s12879-024-09825-9 doi (DE-627)SPR057260249 (SPR)s12879-024-09825-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Usuda, Daisuke verfasserin aut Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. Native valve endocarditis (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Etiology (dpeaa)DE-He213 Treatment (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Kojima, Yuhei verfasserin aut Ono, Rikuo verfasserin aut Kaneoka, Yuki verfasserin aut Kato, Masashi verfasserin aut Sugawara, Yuto verfasserin aut Shimizu, Runa verfasserin aut Inami, Tomotari verfasserin aut Nakajima, Eri verfasserin aut Tsuge, Shiho verfasserin aut Sakurai, Riki verfasserin aut Kawai, Kenji verfasserin aut Matsubara, Shun verfasserin aut Tanaka, Risa verfasserin aut Suzuki, Makoto verfasserin aut Shimozawa, Shintaro verfasserin aut Hotchi, Yuta verfasserin aut Osugi, Ippei verfasserin aut Katou, Risa verfasserin aut Ito, Sakurako verfasserin aut Mishima, Kentaro verfasserin aut Kondo, Akihiko verfasserin aut Mizuno, Keiko verfasserin aut Takami, Hiroki verfasserin aut Komatsu, Takayuki verfasserin aut Nomura, Tomohisa verfasserin aut Sugita, Manabu verfasserin aut Enthalten in BMC infectious diseases BioMed Central, 2001 24(2024), 1 vom: 09. Sept. (DE-627)326645381 (DE-600)2041550-3 1471-2334 nnns volume:24 year:2024 number:1 day:09 month:09 https://dx.doi.org/10.1186/s12879-024-09825-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 09 09 |
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10.1186/s12879-024-09825-9 doi (DE-627)SPR057260249 (SPR)s12879-024-09825-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Usuda, Daisuke verfasserin aut Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. Native valve endocarditis (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Etiology (dpeaa)DE-He213 Treatment (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Kojima, Yuhei verfasserin aut Ono, Rikuo verfasserin aut Kaneoka, Yuki verfasserin aut Kato, Masashi verfasserin aut Sugawara, Yuto verfasserin aut Shimizu, Runa verfasserin aut Inami, Tomotari verfasserin aut Nakajima, Eri verfasserin aut Tsuge, Shiho verfasserin aut Sakurai, Riki verfasserin aut Kawai, Kenji verfasserin aut Matsubara, Shun verfasserin aut Tanaka, Risa verfasserin aut Suzuki, Makoto verfasserin aut Shimozawa, Shintaro verfasserin aut Hotchi, Yuta verfasserin aut Osugi, Ippei verfasserin aut Katou, Risa verfasserin aut Ito, Sakurako verfasserin aut Mishima, Kentaro verfasserin aut Kondo, Akihiko verfasserin aut Mizuno, Keiko verfasserin aut Takami, Hiroki verfasserin aut Komatsu, Takayuki verfasserin aut Nomura, Tomohisa verfasserin aut Sugita, Manabu verfasserin aut Enthalten in BMC infectious diseases BioMed Central, 2001 24(2024), 1 vom: 09. Sept. (DE-627)326645381 (DE-600)2041550-3 1471-2334 nnns volume:24 year:2024 number:1 day:09 month:09 https://dx.doi.org/10.1186/s12879-024-09825-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 09 09 |
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10.1186/s12879-024-09825-9 doi (DE-627)SPR057260249 (SPR)s12879-024-09825-9-e DE-627 ger DE-627 rakwb eng 610 VZ 44.00 bkl Usuda, Daisuke verfasserin aut Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. Native valve endocarditis (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Etiology (dpeaa)DE-He213 Treatment (dpeaa)DE-He213 Case report (dpeaa)DE-He213 Kojima, Yuhei verfasserin aut Ono, Rikuo verfasserin aut Kaneoka, Yuki verfasserin aut Kato, Masashi verfasserin aut Sugawara, Yuto verfasserin aut Shimizu, Runa verfasserin aut Inami, Tomotari verfasserin aut Nakajima, Eri verfasserin aut Tsuge, Shiho verfasserin aut Sakurai, Riki verfasserin aut Kawai, Kenji verfasserin aut Matsubara, Shun verfasserin aut Tanaka, Risa verfasserin aut Suzuki, Makoto verfasserin aut Shimozawa, Shintaro verfasserin aut Hotchi, Yuta verfasserin aut Osugi, Ippei verfasserin aut Katou, Risa verfasserin aut Ito, Sakurako verfasserin aut Mishima, Kentaro verfasserin aut Kondo, Akihiko verfasserin aut Mizuno, Keiko verfasserin aut Takami, Hiroki verfasserin aut Komatsu, Takayuki verfasserin aut Nomura, Tomohisa verfasserin aut Sugita, Manabu verfasserin aut Enthalten in BMC infectious diseases BioMed Central, 2001 24(2024), 1 vom: 09. Sept. (DE-627)326645381 (DE-600)2041550-3 1471-2334 nnns volume:24 year:2024 number:1 day:09 month:09 https://dx.doi.org/10.1186/s12879-024-09825-9 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.00 VZ AR 24 2024 1 09 09 |
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Enthalten in BMC infectious diseases 24(2024), 1 vom: 09. Sept. volume:24 year:2024 number:1 day:09 month:09 |
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Native valve endocarditis Bacteremia Etiology Treatment Case report |
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Usuda, Daisuke @@aut@@ Kojima, Yuhei @@aut@@ Ono, Rikuo @@aut@@ Kaneoka, Yuki @@aut@@ Kato, Masashi @@aut@@ Sugawara, Yuto @@aut@@ Shimizu, Runa @@aut@@ Inami, Tomotari @@aut@@ Nakajima, Eri @@aut@@ Tsuge, Shiho @@aut@@ Sakurai, Riki @@aut@@ Kawai, Kenji @@aut@@ Matsubara, Shun @@aut@@ Tanaka, Risa @@aut@@ Suzuki, Makoto @@aut@@ Shimozawa, Shintaro @@aut@@ Hotchi, Yuta @@aut@@ Osugi, Ippei @@aut@@ Katou, Risa @@aut@@ Ito, Sakurako @@aut@@ Mishima, Kentaro @@aut@@ Kondo, Akihiko @@aut@@ Mizuno, Keiko @@aut@@ Takami, Hiroki @@aut@@ Komatsu, Takayuki @@aut@@ Nomura, Tomohisa @@aut@@ Sugita, Manabu @@aut@@ |
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2024-09-09T00:00:00Z |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">SPR057260249</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240910064732.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240910s2024 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s12879-024-09825-9</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR057260249</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s12879-024-09825-9-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">VZ</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.00</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Usuda, Daisuke</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2024</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s) 2024</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. 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Usuda, Daisuke |
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Usuda, Daisuke ddc 610 bkl 44.00 misc Native valve endocarditis misc Bacteremia misc Etiology misc Treatment misc Case report Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report |
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610 VZ 44.00 bkl Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report Native valve endocarditis (dpeaa)DE-He213 Bacteremia (dpeaa)DE-He213 Etiology (dpeaa)DE-He213 Treatment (dpeaa)DE-He213 Case report (dpeaa)DE-He213 |
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Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report |
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Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report |
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Usuda, Daisuke Kojima, Yuhei Ono, Rikuo Kaneoka, Yuki Kato, Masashi Sugawara, Yuto Shimizu, Runa Inami, Tomotari Nakajima, Eri Tsuge, Shiho Sakurai, Riki Kawai, Kenji Matsubara, Shun Tanaka, Risa Suzuki, Makoto Shimozawa, Shintaro Hotchi, Yuta Osugi, Ippei Katou, Risa Ito, Sakurako Mishima, Kentaro Kondo, Akihiko Mizuno, Keiko Takami, Hiroki Komatsu, Takayuki Nomura, Tomohisa Sugita, Manabu |
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native valve endocarditis caused by corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report |
| title_auth |
Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report |
| abstract |
Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. © The Author(s) 2024 |
| abstractGer |
Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. © The Author(s) 2024 |
| abstract_unstemmed |
Background Corynebacterium striatum (C. striatum) is a gram-positive, anaerobic bacillus found both environmentally and in human skin and nasal mucosa flora. It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. Clinical trial number Not applicable. © The Author(s) 2024 |
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Native valve endocarditis caused by Corynebacterium striatum without underlying structural heart disease or indwelling cardiovascular medical devices: a case report |
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Kojima, Yuhei Ono, Rikuo Kaneoka, Yuki Kato, Masashi Sugawara, Yuto Shimizu, Runa Inami, Tomotari Nakajima, Eri Tsuge, Shiho Sakurai, Riki Kawai, Kenji Matsubara, Shun Tanaka, Risa Suzuki, Makoto Shimozawa, Shintaro Hotchi, Yuta Osugi, Ippei Katou, Risa Ito, Sakurako Mishima, Kentaro Kondo, Akihiko Mizuno, Keiko Takami, Hiroki Komatsu, Takayuki Nomura, Tomohisa Sugita, Manabu |
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Kojima, Yuhei Ono, Rikuo Kaneoka, Yuki Kato, Masashi Sugawara, Yuto Shimizu, Runa Inami, Tomotari Nakajima, Eri Tsuge, Shiho Sakurai, Riki Kawai, Kenji Matsubara, Shun Tanaka, Risa Suzuki, Makoto Shimozawa, Shintaro Hotchi, Yuta Osugi, Ippei Katou, Risa Ito, Sakurako Mishima, Kentaro Kondo, Akihiko Mizuno, Keiko Takami, Hiroki Komatsu, Takayuki Nomura, Tomohisa Sugita, Manabu |
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10.1186/s12879-024-09825-9 |
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2024-09-10T04:50:03.309Z |
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It is reportedly the etiologic agent of community-acquired and nosocomial diseases and is significantly associated with bacteremia and medical endovascular devices. This is the rare case of mitral valve native valve endocarditis (NVE) caused by C. striatum occurring in a young adult without underlying structural heart disease or indwelling cardiovascular medical devices successfully treated with multidisciplinary therapy. Case presentation The patient was a 28-year-old female with no medical history. She was transferred our hospital due to sudden onset of vertigo and vomit. A computed tomography on day 2 revealed the hydrocephalus due to the cerebellar infarction, and she underwent posterior fossa decompression for cerebellar infarction. An angiography on day 8 revealed a left vertebral artery dissection, which was suspected be the etiology. Afterwards, a sudden fever of 39 degrees developed on day 38. She was diagnosed with aspiration pneumonia and treated with ampicillin/sulbactam but was still febrile at the time of transfer for rehabilitation. Treatment continued with levofloxacin, the patient had no fever decline, and she was readmitted to our hospital. Readmission blood cultures (3/3 sets) revealed C. striatum, and an echocardiogram revealed an 11 mm long mitral valve vegetation, leading to NVE diagnosis. On the sixth illness day, cardiac failure symptoms manifested. Echocardiography revealed mitral valve rupture. She was transferred again on the 11th day of illness, during which time her mitral valve was replaced. C. striatum was detected in the vegetation. Following surgery, she returned to our hospital, and vancomycin administration continued. The patient was discharged after 31 total days of postoperative antimicrobial therapy. The patient experienced no exacerbations thereafter. Conclusions We report the rare case of C. striatum mitral valve NVE in a young adult without structural heart disease or indwelling cardiovascular devices. 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