alexa Aortic Valve Endocarditis by a Rare Organism: Abiotrophia defectiva
ISSN: 2155-9880

Journal of Clinical & Experimental Cardiology
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Case Report

Aortic Valve Endocarditis by a Rare Organism: Abiotrophia defectiva

Anurag Bajaj1*, Parul Rathor2, Ankur Sethi3, Vishal Sehgal4 and Julio A Ramos4
1Wright Center for Graduate Medical Education, Internal Medicine, USA
2Medical College of Zhengzhou University, China
3Rosalind Franklin University, USA
4The Common Wealth Medical College, USA
Corresponding Author : Anurag Bajaj
Teaching Faculty
The Wright Center for Graduate Medical Education
Internal Medicine, 707 tall tress drive scranton
Pennsylvania 18505, USA
Tel: 1-570-955-6179
E-mail: dr.anuragbajaj@gmail.com
Received: October 21, 2013; Accepted: November 25, 2013; Published: November 28, 2013
Citation: Bajaj A, Rathor P, Sethi A, Sehgal V, Ramos JA (2013) Aortic Valve Endocarditis by a Rare Organism: Abiotrophia defectiva. J Clin Exp Cardiolog 4:276. doi:10.4172/2155-9880.1000276
Copyright: © 2013 Bajaj A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Abiotrophia defectiva or nutritionally variant Streptococcus (NVS) is rare but important cause of infective endocarditis. We present a case of a 40 year old man with history of aortic valve replacement 14 years ago admitted for fever and chills. Blood culture grew A. defectiva in 4 out of 4 bottles. Patient became a febrile within few days after staring Ceftriaxone but subsequently had renal infarct due to septic embolization. Echocardiogram showed vegetations on aortic valve but no significant aortic regurgitation. After an 8 weeks course of Penicillin and Gentamicin was completed the patient had severe aortic regurgitation. Finally, aortic valve replacement and aortic root replacement was performed and patient did well after the surgery. Clinicians should be aware of this fastidious and aggressive organism when dealing with infective endocarditis. Complications rates are very high even on antibiotics and surgical treatment is needed in at least 50% of the cases.

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