Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the Literature

Veillonella species are fastidious bacteria that have been isolated from skin, dental, and respiratory tract infections and rarely have been implicated in serious infections like meningitis, endocarditis, and osteomyelitis. A 76-year-old woman presented to our hospital with fever, vomiting, and gene...

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Main Authors: Lakshmi Saladi, Cosmina Zeana, Manisha Singh
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2017/4896186
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author Lakshmi Saladi
Cosmina Zeana
Manisha Singh
author_facet Lakshmi Saladi
Cosmina Zeana
Manisha Singh
author_sort Lakshmi Saladi
collection DOAJ
description Veillonella species are fastidious bacteria that have been isolated from skin, dental, and respiratory tract infections and rarely have been implicated in serious infections like meningitis, endocarditis, and osteomyelitis. A 76-year-old woman presented to our hospital with fever, vomiting, and generalized weakness for 3 days. A transthoracic echocardiogram showed a mobile structure on anterior mitral valve leaflet measuring 0.9 cm suggestive of vegetation. Empiric therapy with vancomycin and piperacillin-tazobactam was started with clinical resolution of her symptoms. On day 6, the blood culture drawn at admission grew Veillonella species. A transesophageal echocardiogram confirmed a 1.2 × 0.4 cm echo dense structure attached to the left ventricular side of the anterior mitral leaflet. The patient was discharged home after 10 days of inpatient antibiotic therapy and completed 4 weeks of IV ceftriaxone at home without any adverse events. She was reevaluated in the clinic after completion of treatment and repeat blood cultures remained negative. We report the first case of successful treatment of endocarditis due to Veillonella species with once daily ceftriaxone.
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spelling doaj-art-dfb50b4d4edb464daebf564b2255a28d2025-02-03T01:10:41ZengWileyCase Reports in Infectious Diseases2090-66252090-66332017-01-01201710.1155/2017/48961864896186Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the LiteratureLakshmi Saladi0Cosmina Zeana1Manisha Singh2Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USADepartment of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USADepartment of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USAVeillonella species are fastidious bacteria that have been isolated from skin, dental, and respiratory tract infections and rarely have been implicated in serious infections like meningitis, endocarditis, and osteomyelitis. A 76-year-old woman presented to our hospital with fever, vomiting, and generalized weakness for 3 days. A transthoracic echocardiogram showed a mobile structure on anterior mitral valve leaflet measuring 0.9 cm suggestive of vegetation. Empiric therapy with vancomycin and piperacillin-tazobactam was started with clinical resolution of her symptoms. On day 6, the blood culture drawn at admission grew Veillonella species. A transesophageal echocardiogram confirmed a 1.2 × 0.4 cm echo dense structure attached to the left ventricular side of the anterior mitral leaflet. The patient was discharged home after 10 days of inpatient antibiotic therapy and completed 4 weeks of IV ceftriaxone at home without any adverse events. She was reevaluated in the clinic after completion of treatment and repeat blood cultures remained negative. We report the first case of successful treatment of endocarditis due to Veillonella species with once daily ceftriaxone.http://dx.doi.org/10.1155/2017/4896186
spellingShingle Lakshmi Saladi
Cosmina Zeana
Manisha Singh
Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the Literature
Case Reports in Infectious Diseases
title Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the Literature
title_full Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the Literature
title_fullStr Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the Literature
title_full_unstemmed Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the Literature
title_short Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the Literature
title_sort native valve endocarditis due to veillonella species a case report and review of the literature
url http://dx.doi.org/10.1155/2017/4896186
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AT manishasingh nativevalveendocarditisduetoveillonellaspeciesacasereportandreviewoftheliterature