title: Lactococcus garvieae endocarditis in a patient with colonic diverticulosis: first case report in Italy and review of the literature.
abstract: Lactococcus garvieae is a human opportunistic pathogen with low virulence, but it is a well-known pathogen in aquaculture. A total of 21 human infections have been reported in the literature, mostly endocarditis. Automated methods can wrongly identify this microorganism as Enterococcus spp with a non-standard phenotype, leading to an underestimation of the incidence of this infection. The route of infection could be the ingestion of raw fish, grilled fish or fresh dairy products. We describe the first case of L. garvieae mitral valve endocarditis in Italy, in a patient with mitral valve repair with autologous pericardium, mechanic prosthetic aortic valve and colonic diverticulosis.
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy. gianluca.russo@uniroma1.it
authors.forename: Gianluca
authors.initials: G
authors.lastname: Russo
authors.forename: Marco
authors.initials: M
authors.lastname: Iannetta
authors.forename: Alessandra
authors.initials: A
authors.lastname: D'Abramo
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Mascellino
authors.forename: Annalisa
authors.initials: A
authors.lastname: Pantosti
authors.forename: Linda
authors.initials: L
authors.lastname: Erario
authors.forename: Gianpiero
authors.initials: G
authors.lastname: Tebano
authors.forename: Alessandra
authors.initials: A
authors.lastname: Oliva
authors.forename: Claudia
authors.initials: C
authors.lastname: D'Agostino
authors.forename: Vito
authors.initials: V
authors.lastname: Trinchieri
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Vullo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D043963:Diverticulosis, Colonic; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology*; D005260:Female; D006801:Humans; D007558:Italy; D017045:Lactococcus / Q000302:isolation & purification* / Q000502:physiology; D008297:Male; D008875:Middle Aged