title: Case report of Streptomyces endocarditis of a prosthetic aortic valve.
abstract: We describe the first case of prosthetic valve endocarditis due to a Streptomyces sp. The patient presented with fever, cutaneous embolic lesions, and bacteremia 3 months after aortic valve replacement. Treatment required valve replacement and a long course of parenteral imipenem.
authors.affiliation: Department of Infectious Disease, Cleveland Clinic Foundation, Ohio 44195, USA.
authors.forename: S B
authors.initials: SB
authors.lastname: Mossad
authors.forename: J W
authors.initials: JW
authors.lastname: Tomford
authors.forename: R
authors.initials: R
authors.lastname: Stewart
authors.forename: N B
authors.initials: NB
authors.lastname: Ratliff
authors.forename: G S
authors.initials: GS
authors.lastname: Hall
mesh_terms: D001021:Aortic Valve; D016470:Bacteremia / Q000209:etiology / Q000382:microbiology; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000382:microbiology; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017192:Skin Diseases, Bacterial / Q000209:etiology / Q000382:microbiology; D013302:Streptomyces / Q000302:isolation & purification / Q000472:pathogenicity*