Subacute bacterial endocarditis due to Pasteurella pneumotropica. Case Report

• Published in: Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi Vol. 109; no. 4; p. 743
• Main Authors: Dan, Maria, Prisacariu, Cristina, Georgescu, G I M, Georgescu-Arsenescu, Cătălina, Tinică, G, Buiuc, D
• Format: Journal Article
• Language: Romanian
• Published: Romania 01.10.2005
• Subjects: Adult; Anti-Bacterial Agents - therapeutic use; Ceftriaxone - therapeutic use; Drug Therapy, Combination; Endocarditis, Subacute Bacterial - complications; Endocarditis, Subacute Bacterial - microbiology; Endocarditis, Subacute Bacterial - therapy; Female; Gentamicins - therapeutic use; Humans; Mitral Valve Stenosis - complications; Mitral Valve Stenosis - microbiology; Mitral Valve Stenosis - therapy; Pasteurella Infections - complications; Pasteurella Infections - microbiology; Pasteurella Infections - therapy; Pasteurella pneumotropica - isolation & purification; Treatment Outcome
• ISSN: 0048-7848

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.