Case report: infective endocarditis caused by Brevundimonas vesicularis.

Abstract:

BACKGROUND:There are few reports in the literature of invasive infection caused by Brevundimonas vesicularis in patients without immunosuppression or other predisposing factors. The choice of antimicrobial therapy for bacteremia caused by the pathogen requires more case experience to be determined. CASE PRESENTATION:The case of a 40-year-old previously healthy man with subacute endocarditis proposed to be contributed from an occult dental abscess is described. The infection was found to be caused by B. vesicularis on blood culture results. The patient recovered without sequelae after treatment with ceftriaxone followed by subsequent ciprofloxacin therapy owing to an allergic reaction to ceftriaxone and treatment failure with ampicillin/sulbactam. CONCLUSION:To our knowledge, this is the first report of B. vesicularis as a cause of infective endocarditis. According to an overview of the literature and our experience, we suggest that third-generation cephalosporins, piperacillin/tazobactam, and ciprofloxacin are effective in treating invasive B. vesicularis infections, while the efficacy of ampicillin-sulbactam needs further evaluation.

journal_name

BMC Infect Dis

journal_title

BMC infectious diseases

authors

Yang ML,Chen YH,Chen TC,Lin WR,Lin CY,Lu PL

doi

10.1186/1471-2334-6-179

subject

Has Abstract

pub_date

2006-12-29 00:00:00

pages

179

issn

1471-2334

pii

1471-2334-6-179

journal_volume

6

pub_type

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