First case of infective endocarditis caused by Helicobacter cinaedi.

ABSTRACT:

Background

Up to 20% of all infective endocarditis are blood culture-negative and therefore a diagnostic challenge. Here we present the case of an infective endocarditis due to Helicobacter cinaedi finally diagnosed using different molecular methods. This highly fastidious gram-negative spiral rod is increasingly recognized as a human pathogen, above all in immunocompromised patients. So far H. cinaedi has been associated with bacteremia, cellulitis, arthritis and meningitis.

Case presentation

A 71-year-old man presented with fever and progressive dyspnea for weeks. He was immunocompromised by long-term steroid therapy. As one major and two minor Duke's criteria (vegetation, fever and aortic valve stenosis as predisposition) were present, an infective endocarditis was suspec

SUBMITTER: Bartels H 

PROVIDER: S-EPMC4243372 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature