title: Steak tartare endocarditis.
abstract: This report describes a case of Campylobacter fetus prosthetic valve infective endocarditis and discusses the subsequent management. Although C. fetus has a tropism for vascular endothelium, infective endocarditis has rarely been reported. In this patient, despite initial optimal antimicrobial therapy, valve replacement was ultimately required due to ongoing infectious emboli to the brain in the setting of evidence of vegetation enlargement on echocardiogram. The prosthetic valve was replaced, the patient completed a 6-week course of parenteral antibiotics after surgical intervention and he made a full recovery with no long-term neurological sequelae. This case highlights the fact that despite the relatively low prevalence of C. fetus endocarditis, it is associated with a high degree of mortality and valve replacement is often indicated.
authors.affiliation: Department of Internal Medicine, Division of Infectious Disease, University of California San Francisco, San Francisco, California, USA.
authors.forename: Michael J A
authors.initials: MJ
authors.lastname: Reid
authors.affiliation: Department of Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
authors.forename: Evan Michael
authors.initials: EM
authors.lastname: Shannon
authors.affiliation: Department of Internal Medicine, Division of Infectious Disease, University of California San Francisco, San Francisco, California, USA.
authors.forename: Sanjiv M
authors.initials: SM
authors.lastname: Baxi
authors.affiliation: Department of Internal Medicine, Division of Infectious Disease, University of California San Francisco, San Francisco, California, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Chin-Hong
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002169:Campylobacter Infections / Q000188:drug therapy / Q000382:microbiology*; D002168:Campylobacter fetus / Q000302:isolation & purification; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects / Q000382:microbiology*; D006801:Humans; D008297:Male
chemical_list: D000900:Anti-Bacterial Agents