[Subacute bacterial endocarditis due to Pasteurella pneumotropica. Case Report].
Endocarditis due to Pasteurella pneumotropica are very rarely described. We report a new case of bacterial endocarditis in a 43 years-old patient with mitral stenosis. The patient was admitted to the hospital for lethargy, malaise and hemiparesis. On physical examination, a new systolic murmur was found. Transthoracic echocardiography revealed a vegetation on the mitral valve. Three blood culture sets were drawn and after 24 hours of incubation, the last two sets yielded Pasteurella pneumotropica and cell wall deficient forms (L-forms). The patient was successfully treated with gentamicin and ceftriaxone and underwent mitral valve replacement.
Dan
Maria
M
Disciplina de Microbiologie Medicală, Facultatea de Medicină, Universitatea de Medicină si Farmacie "Gr. T. Popa", Iaşi.
Prisacariu
Cristina
C
Georgescu
G I M
GI
Georgescu-Arsenescu
Cătălina
C
Tinică
G
G
Buiuc
D
D
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004698:Endocarditis, Subacute Bacterial / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008946:Mitral Valve Stenosis / Q000150:complications / Q000382:microbiology / Q000628:therapy; D010326:Pasteurella Infections / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D044142:Pasteurella pneumotropica / Q000302:isolation & purification*; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D002443:Ceftriaxone