Enterococcus gallinarum endocarditis in a diabetic patient.
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.
Ortu
Massimiliano
M
Department of Clinical Science, Infectious Diseases Section, Luigi Sacco Hospital, University of Milan, G.B. Grassi, 74 Street, 20157 Milan, Italy.
Gabrielli
Eugenia
E
Caramma
Ilaria
I
Rossotti
Roberto
R
Gambirasio
Maria
M
Gervasoni
Cristina
C
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
D000900:Anti-Bacterial Agents