Atypical endocarditis due to gram-negative bacillus transmitted by dog bite.
A case of subacute bacterial endocarditis presenting with hemoptysis and late onset of cardiac murmurs, in the absence of pyrexia, was reported. The causative agent was a fastidious, slow-growing, unclassified, gram-negative bacterium, DF-2 (decarboxylase fermenter-2), apparently transmitted by a dog bite. The absence of classic signs of bacterial endocarditis poses a diagnostic challenge and stresses the need for an awareness of atypical presentations of subacute bacterial endocarditis.
D000818:Animals; D001733:Bites and Stings / Q000150:complications*; D004285:Dogs; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D006088:Gram-Negative Aerobic Bacteria / Q000302:isolation & purification; D006801:Humans; D008297:Male; D008875:Middle Aged