Persistent bacteremia secondary to delayed identification of Lactobacillus in the setting of mitral valve endocarditis.

ABSTRACT: Introduction:Lactobacillus species causing infective endocarditis is rare. Most reported cases arise from the oral ingestion of Lactobacillus via dairy or nutritional supplements in patients with congenital valve disease or replacement. We present a case of native valve bacterial endocarditis caused by Lactobacillus arising from dental abscesses. Additionally, there was an error in identification of the Lactobacillus as Corynebacterium, which led to inadequate treatment. Presentation of case:A 51-year-old male presented to an outside clinic with several weeks of subjective fevers and malaise. The provider obtained two sets of blood cultures. Both grew Gram-positive bacilli identified as Corynebacterium. Once hospitalized he persistently had positive blood cultures despite treatment with va

SUBMITTER: Stroupe C 

PROVIDER: S-EPMC5691217 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature