title: Infective endocarditis with atypical clinical feature and relapse byAbiotrophia defectiva.
abstract: A case of infective endocarditis caused by an uncommon agentAbiotrophia defectivawith atypical manifestations is presented. A 42-year-old woman previously had rheumatic heart disease, presented with the symptoms of fever and chills that resolved within 3 days under antibiotherapy. She was diagnosed with endocarditis due toA. defectiva. Despite culture-directed antibiotics being administered in the first admission, her symptoms and also blood culture growth relapsed 3 weeks later. She was successfully treated with antimicrobial therapy and surgical intervention including aorta and mitral valve replacement. This case demonstrates thatA. defectivashould be considered as a causative organism of endocarditis particularly in the presence of atypical symptoms and should be followed up carefully in terms of relapses and complications.
authors.affiliation: Department of Clinical Microbiology and Infectious Diseases, Ondokuz Mayis University School of Medicine, Samsun, aTurkey.
authors.forename: Ilkay
authors.initials: I
authors.lastname: Bozkurt
authors.affiliation: Department of Cardiology, Ondokuz Mayis University School of Medicine, Samsun, bTurkey.
authors.forename: Metin
authors.initials: M
authors.lastname: Coksevim
authors.affiliation: Department of Cardiology, Ondokuz Mayis University School of Medicine, Samsun, bTurkey.
authors.forename: Idris Bugra
authors.initials: IB
authors.lastname: Cerik
authors.affiliation: Department of Cardiology, Ondokuz Mayis University School of Medicine, Samsun, bTurkey.
authors.forename: Okan
authors.initials: O
authors.lastname: Gulel
authors.affiliation: Department of Clinical Microbiology and Infectious Diseases, Ondokuz Mayis University School of Medicine, Samsun, aTurkey.
authors.forename: Esra
authors.initials: E
authors.lastname: Tanyel
authors.affiliation: Department of Clinical Microbiology and Infectious Diseases, Ondokuz Mayis University School of Medicine, Samsun, aTurkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Leblebicioglu
keywords: Abiotrophia defective; Echocardiography; Endocarditis