Bioprosthetic Aortic Valve Endocarditis in Association with Enterococcus durans

Tex Heart Inst J. 2016 Apr 1;43(2):165-7. doi: 10.14503/THIJ-14-4980. eCollection 2016 Apr.

Abstract

Enterococci are common organisms associated with endocarditis, but infection by Enterococcus durans is very rare. To our knowledge, only 3 cases have been reported in the medical literature, and all 3 have involved native valves. Here we publish the first reported case (to our knowledge) of E. durans endocarditis in association with a bioprosthetic aortic valve. After the organism and its antibiotic susceptibility were identified, the 74-year-old male patient was treated successfully with teicoplanin and gentamicin, over a course of 6 weeks.

Keywords: Aortic valve, bioprosthetic; Enterococcus durans/drug effects/isolation & purification; drug resistance, multiple, bacterial; drug therapy, combination; endocarditis, bacterial/therapy; gentamicins/therapeutic use; microbial sensitivity tests; teicoplanin/therapeutic use.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / administration & dosage
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / microbiology*
  • Echocardiography
  • Endocarditis, Bacterial / diagnosis
  • Endocarditis, Bacterial / drug therapy
  • Endocarditis, Bacterial / microbiology*
  • Enterococcus / isolation & purification*
  • Heart Valve Diseases / diagnosis
  • Heart Valve Diseases / drug therapy
  • Heart Valve Diseases / microbiology*
  • Humans
  • Injections, Intravenous
  • Male

Substances

  • Anti-Bacterial Agents