title: [Endocarditis caused by Lactobacillus].
abstract: Endocarditis due to Lactobacillus is rare. Its main features were a subacute course and greater difficulties for achieving a complete recovery even using appropriate antimicrobial therapy with serum levels above MIC. We present one case of Lactobacillus endocarditis in a patient with allergy to penicillin, due to a vancomycin-resistant strain. She was successfully treated with clindamycin and gentamicin. We emphasize the need and importance of sensitivity tests and antibiotic tolerance when choosing an optimal treatment for this infection.
authors.affiliation: Servicio de Medicina Interna, Hospital de Cruces, Universidad del País Vasco, Bilbao.
authors.forename: J C
authors.initials: JC
authors.lastname: Urkijo
authors.forename: M
authors.initials: M
authors.lastname: Montejo
authors.forename: M F
authors.initials: MF
authors.lastname: Mendoza
authors.forename: K
authors.initials: K
authors.lastname: Aguirrebengoa
authors.forename: J L
authors.initials: JL
authors.lastname: Hernández
authors.forename: C
authors.initials: C
authors.lastname: Aguirre
mesh_terms: D000328:Adult; D002981:Clindamycin / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D016908:Gram-Positive Bacterial Infections / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D007778:Lactobacillus / Q000187:drug effects / Q000302:isolation & purification
chemical_list: D005839:Gentamicins; D002981:Clindamycin
vernacular_title: Endocarditis por Lactobacillus.