Infectious endocarditis caused by Lactobacillus acidophilus in a patient with mistreated dental caries.
We present a rare case of infectious endocarditis caused by Lactobacillus acidophilus in a patient on long-term steroid use for autoimmune hepatitis. In vitro susceptibility-guided antibiotics with benzylpenicillin plus clindamycin and successive mitral annuloplasty resulted in a favorable outcome. Infectious endocarditis was suspected to be a complication of mistreated periodontal infection. Maintenance of oral hygiene is important in immunocompromised patients.
AIDS Clinical Center, National Center for Global Health and Medicine, Japan.
Takeshi
T
Nishijima
Katsuji
K
Teruya
Mikio
M
Yanase
Yuiichi
Y
Tamori
Kazuhisa
K
Mezaki
Shinichi
S
Oka
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002981:Clindamycin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003731:Dental Caries / Q000150:complications* / Q000382:microbiology* / Q000628:therapy; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D019693:Hepatitis, Autoimmune / Q000150:complications; D006801:Humans; D016867:Immunocompromised Host; D007779:Lactobacillus acidophilus / Q000302:isolation & purification / Q000472:pathogenicity*; D058386:Mitral Valve Annuloplasty; D009910:Oral Hygiene; D010400:Penicillin G / Q000627:therapeutic use; D010518:Periodontitis / Q000150:complications / Q000382:microbiology / Q000628:therapy; D011239:Prednisolone / Q000009:adverse effects
D000900:Anti-Bacterial Agents; D002981:Clindamycin; D011239:Prednisolone; D010400:Penicillin G