Community-acquired Klebsiella oxytoca endocarditis: a case report.
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.
Chen
Ju-Yi
JY
Division of Cardiology, Department of Internal Medicine, National Cheng Kung University Medical Center, 138 Sheng-Li Road, Tainan 704, Taiwan, ROC.
Chen
Po-Sheng
PS
Chen
Ya-Ping
YP
Lee
Wei-Ting
WT
Lin
Li-Jen
LJ
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*
D000900:Anti-Bacterial Agents; D002437:Cefazolin