[Endocarditis due to Granulicatella adiacens].
METHODS
A prosthetic aortic valve was implanted in a 41-year-old patient with connatal aortic stenosis. 14 months later a bacterial endocarditis was diagnosed and treated with ceftriaxone. 6 weeks later he had a relapse. Satellite streptococci could be cultivated from three blood cultures, later identified as Granulicatella adiacens. The patient was treated with penicillin and gentamicin.


METHODS
In a short review of the literature the most important aspects of pathogenesis, diagnostics and therapy of endocarditis due to satellite streptococci are presented.
Schwede
Ilona
I
Institut für Medizinische Diagnostik Oderland, Am Kleistpark 1, 15230 Frankfurt an der Oder.
Handrick
Werner
W
Henrichs
Martin
M
Linss
Günter
G
Berthold
Frank
F
D000328:Adult; D001021:Aortic Valve / Q000382:microbiology; D001024:Aortic Valve Stenosis / Q000151:congenital / Q000601:surgery; D016470:Bacteremia / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D001431:Bacteriological Techniques; D002443:Ceftriaxone / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005839:Gentamicins / Q000627:therapeutic use; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000382:microbiology; D010400:Penicillin G / Q000627:therapeutic use; D011183:Postoperative Complications / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D012008:Recurrence; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013291:Streptococcus / Q000145:classification / Q000302:isolation & purification*
D005839:Gentamicins; D002443:Ceftriaxone; D010400:Penicillin G