title: Infective endocarditis with Lactococcus garvieae in Japan: a case report.
abstract: BACKGROUND
  Lactococcus garvieae is a well-recognized fish pathogen, and it is considered a rare pathogen with low virulence in human infection. We describe the 11th case of L. garvieae infective endocarditis reported in the literature, and the first reported case in Japan.
  
  
  METHODS
  We report a case of a 55-year-old Japanese woman who had native valve endocarditis with L. garvieae. The case was complicated by renal infarction, cerebral infarction, and mycotic aneurysms. After anti-microbial treatment, she was discharged from the hospital and is now well while being monitored in the out-patient clinic.
  
  
  CONCLUSIONS
  We encountered a case of L. garvieae endocarditis that occurred in a native valve of a healthy woman. The 16S ribosomal RNA gene sequencing was useful for the identification of this pathogen. Although infective endocarditis with L. garvieae is uncommon, it is possible to treat high virulence clinically.
authors.affiliation: Department of General Medicine, Juntendo University School of Medicine, 2-1-1 Bunkyo-ku, Hongo, Tokyo 113-8421, Japan. naito@juntendo.ac.jp.
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Toshio
authors.initials: T
authors.lastname: Naito
authors.forename: Ken
authors.initials: K
authors.lastname: Kikuchi
authors.forename: Yu
authors.initials: Y
authors.lastname: Amari
authors.forename: Yuki
authors.initials: Y
authors.lastname: Uehara
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Isonuma
authors.forename: Teruhiko
authors.initials: T
authors.lastname: Hisaoka
authors.forename: Terutoyo
authors.initials: T
authors.lastname: Yoshida
authors.forename: Kenji
authors.initials: K
authors.lastname: Yaginuma
authors.forename: Norihide
authors.initials: N
authors.lastname: Takaya
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Daida
authors.forename: Keiichi
authors.initials: K
authors.lastname: Hiramatsu