title: Pasteurella multocida aortic valve endocarditis: case report and literature review.
abstract: Pasteurella multocida is a rare cause of infective endocarditis that occurs mostly in immunocompromised patients and is therefore associated with a high mortality rate. The case is reported of a 48-year-old male patient with liver cirrhosis, who developed aortic valve endocarditis caused by P. multocida. The infection was detected by blood cultures. The patient presented with generalized symptoms and initial neurologic symptoms suggestive of meningitis. Transthoracic echocardiography conducted after the discovery of a diastolic murmur revealed a large vegetation on the aortic valve, and notable insufficiency. These findings were confirmed at surgery, where-upon the patient underwent aortic valve replacement using a bioprosthetic valve. Subsequently he developed a recurrent episode of endocarditis that was successfully treated with antibiotic therapy. Other similar cases reported in the literature are reviewed.
authors.affiliation: Service de chirurgie cardiovasculaire, Hopital cardiologique, CHRU de Lille, France.
authors.forename: Georges
authors.initials: G
authors.lastname: Fayad
authors.forename: Thomas
authors.initials: T
authors.lastname: Modine
authors.forename: Samia
authors.initials: S
authors.lastname: Mokhtari
authors.forename: Laurence
authors.initials: L
authors.lastname: Legout
authors.forename: Christophe
authors.initials: C
authors.lastname: Decoene
authors.forename: Richard
authors.initials: R
authors.lastname: Azzaoui
authors.forename: Sharif
authors.initials: S
authors.lastname: Al-Ruzzeh
authors.forename: Ghassan
authors.initials: G
authors.lastname: Naja
authors.forename: Benoit
authors.initials: B
authors.lastname: Larrue
authors.forename: Fréderic
authors.initials: F
authors.lastname: Lecomte
authors.forename: Eric
authors.initials: E
authors.lastname: Senneville
authors.forename: Henri
authors.initials: H
authors.lastname: Warembourg
mesh_terms: D001021:Aortic Valve / Q000473:pathology* / Q000601:surgery; D004697:Endocarditis, Bacterial / Q000601:surgery*; D006349:Heart Valve Diseases / Q000382:microbiology* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010326:Pasteurella Infections / Q000601:surgery; D016979:Pasteurella multocida