title: Nocardial endocarditis after mitral valve replacement: case report and review of the literature.
abstract: Nocardia causes several types of infection in both immunocompetent and immunocompromised hosts, and may affect any organ. Endocarditis due to infection by Nocardia species is rare and has a poor prognosis. To our knowledge, after a literature review, only 12 cases of nocardial endocarditis have been reported, most treated with valve replacement. We report the case of a patient with prosthetic valve endocarditis due to Nocardia species, who was successfully treated with antimicrobial chemotherapy only (trimethoprim-sulfamethoxazole), instead of valve replacement.
authors.affiliation: Serviço de Cardiologia, Hospital Santa Marta, Lisboa, Portugal. ana_timoteo@jahoo.com
authors.forename: Ana T
authors.initials: AT
authors.lastname: Timóteo
authors.forename: Luísa M
authors.initials: LM
authors.lastname: Branco
authors.forename: Margarida
authors.initials: M
authors.lastname: Pinto
authors.forename: Pedro
authors.initials: P
authors.lastname: Bico
authors.forename: Rui C
authors.initials: RC
authors.lastname: Ferreira
mesh_terms: D000368:Aged; D004697:Endocarditis, Bacterial / Q000209:etiology*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D009617:Nocardia Infections / Q000209:etiology*; D016459:Prosthesis-Related Infections / Q000209:etiology*