title: Infective endocarditis caused by Granulicatella adiacens.
abstract: Granulicatella adiacens, a recently nomenclatured bacterium, was considered as one of the nutritionally variant streptococci (NVS) and is a mouth commensal. It is redesignated as a streptococcus like bacterium since it differs from streptococci. We report a case of infective endocarditis (IE) caused by this fastidious and unusual bacteria in a 63-year-old man with rheumatic valvular heart disease. G. adiacens was isolated from four of his blood culture samples, which was sensitive to beta lactams, moderately sensitive to gentamicin and resistant to erythromycin and co-trimoxazole. Patient recovered completely on treatment with high dose of ampicillin and gentamicin for 28 days.
authors.affiliation: Associate Professor, Department of Microbiology, Jubilee Mission Medical College and Research Institute, Thrissur 680005, Kerala, India. Electronic address: shailabraj@gmail.com.
authors.forename: T S
authors.initials: TS
authors.lastname: Shailaja
authors.forename: K A
authors.initials: KA
authors.lastname: Sathiavathy
authors.forename: Govindan
authors.initials: G
authors.lastname: Unni
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D056568:Carnobacteriaceae / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged
chemical_list: D000900:Anti-Bacterial Agents
keywords: Granulicatella adiacens; Infective endocarditis; Streptococcus like bacteria