title: Central Venous Access Device-Related Bacillus Cereus Endocarditis: A Case Report and Review of the Literature.
abstract: Bacillus cereus typically presents as a gastrointestinal infection, but rarely manifests as systemic disease. This report describes a case of B. cereus-related endocarditis that presented as a sickle cell crisis and bacteremia. Initial clinical suspicion was for laboratory contamination of blood cultures. The case herein described is intended to demonstrate an uncommon presentation of B. cereus infection and highlights the value of an aggressive need to further investigate and interpret unexpected blood culture findings in clinical practice, early adequate antimicrobial therapy, prompt diagnosis, and consideration to urgent surgical interventions in such cases.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, Memorial Medical Center, York, Pennsylvania, USA william.wright.f@gmail.com.
authors.forename: William F
authors.initials: WF
authors.lastname: Wright
mesh_terms: D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001409:Bacillus cereus; D016470:Bacteremia / Q000382:microbiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D004452:Echocardiography; D004696:Endocarditis / Q000382:microbiology*; D006801:Humans; D008297:Male
chemical_list: D000900:Anti-Bacterial Agents
keywords: Bacillus cereus; Bacillus species; Bacteremia; Central venous catheter infection; Infective endocarditis