Infective endocarditis with Lactococcus garvieae in Japan: A case report

被引:27
|
作者
Watanabe Y. [1 ,2 ]
Naito T. [1 ,2 ]
Kikuchi K. [1 ,2 ]
Amari Y. [1 ]
Uehara Y. [1 ,2 ]
Isonuma H. [1 ]
Hisaoka T. [1 ]
Yoshida T. [4 ]
Yaginuma K. [3 ]
Takaya N. [3 ]
Daida H. [3 ]
Hiramatsu K. [2 ]
机构
[1] Department of General Medicine, Juntendo University, School of Medicine, Hongo, Tokyo 113-8421
[2] Department of Infection Control Science, Juntendo University, School of Medicine, Hongo, Tokyo 113-8421
[3] Department of Cardiology, Juntendo University, School of Medicine, Hongo, Tokyo 113-8421
[4] Department of Fisheries, Faculty of Agriculture, Miyazaki University, Miyazaki City
关键词
Cerebral Infarction; Infective Endocarditis; Linezolid; Mastitis; Netilmicin;
D O I
10.1186/1752-1947-5-356
中图分类号
学科分类号
摘要
Introduction. Lactococcus garvieae is a well-recognized fish pathogen, and it is considered a rare pathogen with low virulence in human infection. We describe the 11th case of L. garvieae infective endocarditis reported in the literature, and the first reported case in Japan. Case presentation. We report a case of a 55-year-old Japanese woman who had native valve endocarditis with L. garvieae. The case was complicated by renal infarction, cerebral infarction, and mycotic aneurysms. After anti-microbial treatment, she was discharged from the hospital and is now well while being monitored in the out-patient clinic. Conclusion: We encountered a case of L. garvieae endocarditis that occurred in a native valve of a healthy woman. The 16S ribosomal RNA gene sequencing was useful for the identification of this pathogen. Although infective endocarditis with L. garvieae is uncommon, it is possible to treat high virulence clinically. © 2011 Watanabe et al; licensee BioMed Central Ltd.
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