Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Infectious Diseases
A Woman with Infectious Endocarditis Caused by Abiotrophia defectiva
Toko HASHIMOTO, Satoshi JODO, Akira FURUSAKI, Yujiro KON, Yoshiharu AMASAKI, Tatsuya ATSUMI, Hiroshi KOMATSU, Junichi SHIMOKAWA, Kazuya YONEZAWA, Takao KOIKE
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Keywords: infection, endocarditis, Abiotrophia defectiva, echocardiogram, antibiotics
JOURNAL OPEN ACCESS

2004 Volume 43 Issue 10 Pages 1000-1004

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Abstract

A 74-year-old woman with recurrent fever and multiple joint pain was admitted to Hokkaido University Hospital. Trans-esophageal echocardiogram revealed bacterial vegetation and destruction of the aortic valve. Although few bacteria grew in regular blood agar, Grampositive coccobacillus was specifically grown in chocolate blood agar and Brucella agar, and it was identified to be Abiotrophia defectiva. Infectious endocarditis caused by Abiotrophia defectiva was diagnosed, she was treated with diuretics, penicillin G and gentamicin, and she immediately improved. Infectious diseases caused by Abiotrophia defectiva are extremely rare, and identification of this pathogen is important, as its bacterial characteristics require proper attention.

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© 2004 by The Japanese Society of Internal Medicine
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