title: Haemophilus paraphrophilus endocarditis: case report and review.
abstract: Endocarditis due to Haemophilus paraphrophilus is an uncommon disease. We report a case of H. paraphrophilus endocarditis with embolic complications in which the causative organism was resistant to beta-lactam antibiotics. Before April 1994, 16 cases of H. paraphrophilus endocarditis had been reported. Infection by this organism usually affects a previously damaged mitral valve. We emphasize the fastidiousness of the organism and the high incidence of embolic complications, which determine the outcome. To our knowledge we describe the first patient with endocarditis due to beta-lactam-resistant H. paraphrophilus.
authors.affiliation: Department of Internal Medicine, Hospital Clínic, School of Medicine, University of Barcelona, Spain.
authors.forename: B
authors.initials: B
authors.lastname: Coll-Vinent
authors.forename: X
authors.initials: X
authors.lastname: Surís
authors.forename: A
authors.initials: A
authors.lastname: López-Soto
authors.forename: J M
authors.initials: JM
authors.lastname: Miró
authors.forename: A
authors.initials: A
authors.lastname: Coca
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000494:pharmacology; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000209:etiology*; D006190:Haemophilus / Q000187:drug effects; D006192:Haemophilus Infections / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007769:Lactams; D008297:Male
chemical_list: D000900:Anti-Bacterial Agents; D007769:Lactams