title: Streptobacillus moniliformis endocarditis: case report and review of literature.
abstract: Rat bite fever is a rare infection and sometimes results in complications. This case report describes native mitral valve endocarditis in a 44-year-old male patient caused by Streptobacillus moniliformis. The diagnosis was confirmed by transesophageal echocardiography and blood cultures (BACTEC). The patient was treated with IV crystalline penicillin (6 weeks) and gentamicin (2 weeks). The fundamental importance of a high index of suspicion, interpreting investigations and appropriateness of therapy are highlighted.
authors.affiliation: Department of Internal Medicine and Diabetology, #439 Cheran Nagar, Perumbakkam, Global Hospitals and Health City, Chennai 600100, Tamil Nadu, India. Electronic address: madhu_bashini@rediffmail.com.
authors.forename: M
authors.initials: M
authors.lastname: Madhubashini
authors.forename: Susan
authors.initials: S
authors.lastname: George
authors.forename: Sujatha
authors.initials: S
authors.lastname: Chandrasekaran
mesh_terms: D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010406:Penicillins / Q000627:therapeutic use; D011906:Rat-Bite Fever / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D051381:Rats; D013288:Streptobacillus / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D010406:Penicillins; D000658:Amoxicillin; D004318:Doxycycline
keywords: Endocarditis; Mitral valve; Rat bite fever; Streptobacillus moniliformis