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Infective endocarditis caused by Abiotrophia defectiva presenting as anterior mitral leaflet perforation mimicking cleft anterior mitral leaflet.


ABSTRACT: Infective endocarditis (IE) is primarily a bacterial infection of the heart valves. The most common organisms implicated include Staphylococcus and Streptococcus species. However, with the advent of MALDI-TOF and molecular techniques, the reports of IE being caused by rare organisms are on a rise. Here we describe a case of IE due to Abiotrophia defectiva. This is the first report of simultaneous infection of both mitral and aortic valves by Abiotrophia defectiva from India. IE caused by Abiotrophia defectiva has been seen to be more severe, associated with higher failure rates and relapse. This emphasizes the accurate identification of nutritionally variant Streptococcus (NVS) species as the management of choice varies between Abiotrophia and Granulicatella.

SUBMITTER: Gupta P 

PROVIDER: S-EPMC7113916 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Infective endocarditis caused by <i>Abiotrophia defectiva</i> presenting as anterior mitral leaflet perforation mimicking cleft anterior mitral leaflet.

Gupta Parakriti P   Agstam Sourabh S   Angrup Archana A   Manoj Rohit Kumar RK   Kanaujia Rimjhim R   Ray Pallab P  

Journal of family medicine and primary care 20200228 2


Infective endocarditis (IE) is primarily a bacterial infection of the heart valves. The most common organisms implicated include <i>Staphylococcus</i> and <i>Streptococcus</i> species. However, with the advent of MALDI-TOF and molecular techniques, the reports of IE being caused by rare organisms are on a rise. Here we describe a case of IE due to <i>Abiotrophia defectiva</i>. This is the first report of simultaneous infection of both mitral and aortic valves by <i>Abiotrophia defectiva</i> from  ...[more]

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