Abstract
Endocarditis due to Pasteurella pneumotropica are very rarely described. We report a new case of bacterial endocarditis in a 43 years-old patient with mitral stenosis. The patient was admitted to the hospital for lethargy, malaise and hemiparesis. On physical examination, a new systolic murmur was found. Transthoracic echocardiography revealed a vegetation on the mitral valve. Three blood culture sets were drawn and after 24 hours of incubation, the last two sets yielded Pasteurella pneumotropica and cell wall deficient forms (L-forms). The patient was successfully treated with gentamicin and ceftriaxone and underwent mitral valve replacement.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Ceftriaxone / therapeutic use
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Drug Therapy, Combination
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Endocarditis, Subacute Bacterial / complications
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Endocarditis, Subacute Bacterial / microbiology*
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Endocarditis, Subacute Bacterial / therapy
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Female
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Gentamicins / therapeutic use
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Humans
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Mitral Valve Stenosis / complications
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Mitral Valve Stenosis / microbiology
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Mitral Valve Stenosis / therapy
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Pasteurella Infections / complications
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Pasteurella Infections / microbiology*
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Pasteurella Infections / therapy
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Pasteurella pneumotropica / isolation & purification*
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Gentamicins
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Ceftriaxone