Infective endocarditis caused by abiotrophia defectiva in a pediatric patient Bir çocuk olguda abiotrophia defectiva’nın etken olduğu enfektif endokardit


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Şahiner A., BAYHAN G. İ. , Özkan M., Gümüş T., Ezgü Z. D. , Tokel N. K.

Cocuk Enfeksiyon Dergisi, vol.15, no.3, pp.194-196, 2021 (Refereed Journals of Other Institutions) identifier

  • Publication Type: Article / Article
  • Volume: 15 Issue: 3
  • Publication Date: 2021
  • Doi Number: 10.5578/ced.20219709
  • Title of Journal : Cocuk Enfeksiyon Dergisi
  • Page Numbers: pp.194-196
  • Keywords: Abiotrophia defectiva, Child, Conduit, Infective endocarditis

Abstract

© Telif Hakkı 2021 Çocuk Enfeksiyon Hastalıkları ve Bağışıklama Derneği.Abiotrophia defectiva is a nutritional defective streptococcus that is dif-ficult to grow in routine culture media, is found in the oral mucosa, gas-trointestinal and urogenital system flora and is a rare cause of infective endocarditis. An 11-year-old boy with underlying operated congenital heart defect presented with prolonged fever. Abiotrophia defectiva is yielded in the blood cultures taken properly with a pre-diagnosis of infective endocarditis. Although there was no vegetation or other finding of endocarditis on echocardiography, surgery decision was made because bacteria continued to grow in the blood culture under appropri-ate antibiotic treatment. During surgery, it was observed that the conte-grapulmonic valved conduit was severely degenerated and calcified. A new contegrapulmonic valve conduit replacement was performed. Serious complications occur more frequently in infective endocarditis caused by Abiotrophia defectiva compared to other etiogic agents of infective endocarditis. With this case, we wanted to emphasize that in Abiotrophia defectiva infective endocarditis, the possibility of antibiotic treatment failure and surgical procedure requirement is quite high.