Listeria endocarditis causing aortic root abscess and a fistula to the left atrium.
We report the case of a 74-year-old man who presented with endocarditis on a porcine aortic valve replacement. Five of six blood cultures grew listeria monocytogenes. Transoesophageal echocardiography demonstrated the presence of a cavity posterior to the aortic annulus, apparently communicating with the left atrium. The patient underwent successful aortic valve re-replacement. Listeria endocarditis is rare with only 58 reported cases in the literature and is associated with high mortality.
Hood
S
S
Department of Cardiology, Stobhill Hospital, Glasgow.
Baxter
R H
RH
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000382:microbiology* / Q000601:surgery; D001705:Bioprosthesis; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000601:surgery*; D005402:Fistula; D006331:Heart Diseases; D006350:Heart Valve Prosthesis / Q000382:microbiology*; D006801:Humans; D008088:Listeriosis / Q000188:drug therapy / Q000601:surgery*; D008297:Male; D012086:Reoperation
D000900:Anti-Bacterial Agents