title: Infective endocarditis caused by an unusual gram-negative rod, Rahnella aquatilis.
abstract: An 11-month-old girl with congenital heart disease developed infective endocarditis. Blood cultures revealed an unusual gram-negative rod, Rahnella aquatilis. The patient was successfully treated with a combination of netilmicin and ceftazidime. This is the first case report of infective endocarditis caused by this organism. R. aquatilis should be recognized as a clinical pathogen capable of causing life-threatening infection in children and adults.
authors.affiliation: Department of Pediatrics, National Sanatorium Toyama Hospital, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Matsukura
authors.forename: K
authors.initials: K
authors.lastname: Katayama
authors.forename: N
authors.initials: N
authors.lastname: Kitano
authors.forename: K
authors.initials: K
authors.lastname: Kobayashi
authors.forename: C
authors.initials: C
authors.lastname: Kanegane
authors.forename: A
authors.initials: A
authors.lastname: Higuchi
authors.forename: S
authors.initials: S
authors.lastname: Kyotani
mesh_terms: D000328:Adult; D004359:Drug Therapy, Combination / Q000494:pharmacology / Q000627:therapeutic use; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D004755:Enterobacteriaceae / Q000187:drug effects / Q000302:isolation & purification*; D004756:Enterobacteriaceae Infections / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000382:microbiology*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D007223:Infant; D015570:Josamycin / Q000627:therapeutic use; D008826:Microbial Sensitivity Tests; D010878:Piperacillin / Q000627:therapeutic use; D011666:Pulmonary Valve Stenosis / Q000150:complications* / Q000000981:diagnostic imaging
chemical_list: D015570:Josamycin; D010878:Piperacillin