title: Gemella morbillorum prosthetic valve endocarditis.
abstract: The authors describe a case of prosthetic valve infective endocarditis (IE) caused by Gemella morbillorum (GM), a gram-positive coccus that grows slowly in culture and occasionally causes a subacute to chronic form of IE. To the author's knowledge, this is the third case of GM prosthetic valve IE to be reported. Subacute to chronic IE caused by slow-growing organisms can be subtle in presentation and should be suspected in patients who have prosthetic valves presenting with worsening heart failure.
authors.affiliation: Department of Cardiology, Loyola University Medical Center, Maywood, IL 60153, USA. obadac@yahoo.com
authors.forename: M Obadah
authors.initials: MO
authors.lastname: Al Chekakie
authors.forename: Alain
authors.initials: A
authors.lastname: Heroux
authors.forename: Michelle
authors.initials: M
authors.lastname: Montpetit
authors.forename: Hassan
authors.initials: H
authors.lastname: Nemeh
mesh_terms: D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000382:microbiology; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D017809:Fatal Outcome; D005839:Gentamicins / Q000627:therapeutic use; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006350:Heart Valve Prosthesis / Q000009:adverse effects* / Q000382:microbiology; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D040141:Staphylococcaceae
chemical_list: D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D005839:Gentamicins; D010406:Penicillins; D008795:Metronidazole; D015378:Imipenem; D000667:Ampicillin