title: Infective endocarditis caused by Finegoldia magna following aortic dissection repair: a case report and data evaluation.
abstract: BACKGROUND
  Finegoldia magna (F. magna) is a rare pathogen causing infective endocarditis (IE). Only 7 cases are documented in the literature.
  
  
  METHODS
  We report a case of infective endocarditis in a 45-year-old male due to F. magna 2 months after a Bentall procedure. He presented with fever, dyspnea, and chest pain. Aerobic and anaerobic blood samples were drawn before empirical antibiotic treatment was initiated. A transesophageal echocardiogram (TEE) demonstrated several findings involving the prosthetic valve, including a vegetation. The patient underwent a second aortic repair procedure. Tissue cultures obtained from 2 sources in the infected area during the operation were positive for F. magna. The antibiotic regimen was changed in accordance with susceptibility testing to piperacillin/tazobactam. Two weeks after the operation, the patient was released with a recommendation for antibiotic treatment for 8 weeks.
  
  
  CONCLUSIONS
  We report this case because F. magna in a rare pathogen causing endocarditis. This was a case of prosthetic valve F. magna IE in which the definitive diagnosis was based on tissue cultures following sterile blood cultures. Data evaluation of all F. magna IE reported cases illustrated that tissue cultures were the predominant microbiologic diagnostic tool used.
authors.affiliation: Infectious Disease Unit, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Khetam
authors.initials: K
authors.lastname: Hussein
authors.affiliation: Department of Internal Medicine A, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Ziv
authors.initials: Z
authors.lastname: Savin
authors.affiliation: Department of Internal Medicine A, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Liran
authors.initials: L
authors.lastname: Shani
authors.affiliation: Department of Internal Medicine A, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Yaakov
authors.initials: Y
authors.lastname: Dickstein
authors.affiliation: Laboratory of Microbiology, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Yuval
authors.initials: Y
authors.lastname: Geffen
authors.affiliation: Department of Internal Medicine A, Rambam Health Care Campus, Haifa, Israel.
authors.forename: Ayelet
authors.initials: A
authors.lastname: Raz-Pasteur
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001021:Aortic Valve; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D006801:Humans; D008297:Male; D008875:Middle Aged; D010462:Peptostreptococcus; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy