title: [Bordetella holmesii endocarditis in an asplenic patient].
abstract: The case of a 52-year-old female patient with a history of critical aortic stenosis, hypothyroidism and splenectomy as treatment for her Hodgkin's lymphoma is herein presented. In April 2011, the patient was admitted to the cardiology service due to global heart failure, fever and poor response to diuretic and vasodilator therapy. A transesophageal echocardiogram showed images compatible with vegetations in the aortic, pulmonary, and mitral valves. A diagnosis of infective endocarditis was made. Growth of gram-negative coccobacilli was observed in two blood culture sets. The microorganism was finally identified as Bordetella holmesii. The patient was treated with ceftriaxone 1 g every 12 hours for 28 days with favorable outcome.
authors.affiliation: Laboratorio de Microbiología, Hospital Naval Pedro Mallo, Ciudad Autónoma de Buenos Aires, Argentina. rnsoloaga@yahoo.com
authors.forename: Rolando N
authors.initials: RN
authors.lastname: Soloaga
authors.forename: Natalia A
authors.initials: NA
authors.lastname: Carrion
authors.forename: Marisa
authors.initials: M
authors.lastname: Almuzara
authors.forename: Claudia
authors.initials: C
authors.lastname: Barberis
authors.forename: Juan C
authors.initials: JC
authors.lastname: Pidone
authors.forename: Liliana I
authors.initials: LI
authors.lastname: Guelfand
authors.forename: Carlos
authors.initials: C
authors.lastname: Vay
mesh_terms: D001885:Bordetella Infections; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000382:microbiology*; D013156:Splenectomy