Abstract
The authors describe a case of prosthetic valve infective endocarditis (IE) caused by Gemella morbillorum (GM), a gram-positive coccus that grows slowly in culture and occasionally causes a subacute to chronic form of IE. To the author's knowledge, this is the third case of GM prosthetic valve IE to be reported. Subacute to chronic IE caused by slow-growing organisms can be subtle in presentation and should be suspected in patients who have prosthetic valves presenting with worsening heart failure.
MeSH terms
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Adult
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Ampicillin / therapeutic use
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Anti-Bacterial Agents / therapeutic use
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Anti-Infective Agents / therapeutic use
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Aortic Valve* / microbiology
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Endocarditis, Bacterial / diagnosis
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / microbiology*
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Fatal Outcome
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Gentamicins / therapeutic use
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Gram-Positive Bacterial Infections / diagnosis
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Gram-Positive Bacterial Infections / drug therapy
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Gram-Positive Bacterial Infections / microbiology*
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Heart Valve Prosthesis / adverse effects*
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Heart Valve Prosthesis / microbiology
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Humans
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Imipenem / therapeutic use
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Male
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Metronidazole / therapeutic use
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Penicillins / therapeutic use
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Prosthesis-Related Infections / diagnosis
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Prosthesis-Related Infections / drug therapy
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Prosthesis-Related Infections / microbiology*
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Staphylococcaceae*
Substances
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Anti-Bacterial Agents
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Anti-Infective Agents
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Gentamicins
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Penicillins
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Metronidazole
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Imipenem
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Ampicillin