title: Community-acquired Klebsiella oxytoca endocarditis: a case report.
abstract: We report the case of a 71-year-old woman who presented with persistent high fever and progressive weakness for 10 days. Klebsiella oxytoca infective endocarditis was diagnosed based on four sets of positive blood culture of K. oxytoca together with fluttering vegetation (0.6 cm in diameter x 1.3 cm long) on the base of the anterior mitral leaflet. The diagnosis was documented using transthoracic and transesophageal echocardiograms. After 4 weeks of intravenous cefazolin therapy, the patient completely recovered.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, National Cheng Kung University Medical Center, 138 Sheng-Li Road, Tainan 704, Taiwan, ROC.
authors.forename: Ju-Yi
authors.initials: JY
authors.lastname: Chen
authors.forename: Po-Sheng
authors.initials: PS
authors.lastname: Chen
authors.forename: Ya-Ping
authors.initials: YP
authors.lastname: Chen
authors.forename: Wei-Ting
authors.initials: WT
authors.lastname: Lee
authors.forename: Li-Jen
authors.initials: LJ
authors.lastname: Lin
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D017714:Community-Acquired Infections / Q000382:microbiology*; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D005260:Female; D006801:Humans; D007710:Klebsiella Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D041121:Klebsiella oxytoca / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D002437:Cefazolin