title: Enterococcus gallinarum endocarditis in a diabetic patient.
abstract: Recent studies pointed out the increasing rate of infective endocarditis (IE) in diabetic patients. As diabetes mellitus (DM) prevalence is expected to increase in the coming years, infective endocarditis could be more frequently reported in these patients. We here describe a rare case of Enterococcus gallinarum endocarditis developing on normal native heart valve in an elderly diabetic woman. Therapeutic options were restricted due to resistance factors of the microorganism, limited guidance in the medical literature, and the patient's history and underlying condition. Despite these challenges, adequate antibiotic therapy led to the patient's recovery.
authors.affiliation: Department of Clinical Science, Infectious Diseases Section, Luigi Sacco Hospital, University of Milan, G.B. Grassi, 74 Street, 20157 Milan, Italy.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Ortu
authors.forename: Eugenia
authors.initials: E
authors.lastname: Gabrielli
authors.forename: Ilaria
authors.initials: I
authors.lastname: Caramma
authors.forename: Roberto
authors.initials: R
authors.lastname: Rossotti
authors.forename: Maria
authors.initials: M
authors.lastname: Gambirasio
authors.forename: Cristina
authors.initials: C
authors.lastname: Gervasoni
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000382:microbiology; D003925:Diabetic Angiopathies / Q000382:microbiology; D003929:Diabetic Neuropathies / Q000382:microbiology; D004359:Drug Therapy, Combination; D004697:Endocarditis, Bacterial / Q000150:complications*; D016983:Enterococcus; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D009203:Myocardial Infarction; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis
chemical_list: D000900:Anti-Bacterial Agents