Neisseria elongata endocarditis: case report and literature review.
We describe a case of infective endocarditis due to Neisseria elongata, and review the literature. N. elongata is a constituent of the normal oral flora and a rare cause of infective endocarditis. Unfamiliarity with the organism and its rod-shaped morphology may lead to a delay in microbiological diagnosis. Although the organism is relatively sensitive to antibiotics, our experience in the management of the described case and a review of previous reports suggest that antibiotic therapy alone may not be sufficient. It is likely that patients with N. elongata endocarditis will require surgery.
Haddow
L J
LJ
Department of Microbiology, University Hospital Lewisham, Lewisham High Street, London SE13 6LH London, UK.
Mulgrew
C
C
Ansari
A
A
Miell
J
J
Jackson
G
G
Malnick
H
H
Rao
G Gopal
GG
D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D002442:Ceftazidime / Q000494:pharmacology / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D016905:Gram-Negative Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009343:Neisseria / Q000187:drug effects / Q000302:isolation & purification*
D000900:Anti-Bacterial Agents; D002442:Ceftazidime