1. [Lactobacillus acidophilus endocarditis].
- Author
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Penot JP, Lagrange P, Darodes N, Ploy MC, Violet T, Virot P, Mansour L, and Bensaid J
- Subjects
- Aged, Aortic Valve, Female, Humans, Bioprosthesis microbiology, Endocarditis, Bacterial microbiology, Gram-Positive Bacterial Infections microbiology, Heart Valve Prosthesis microbiology, Lactobacillus acidophilus isolation & purification
- Abstract
Background: Lactobacillus is a commensal germ found in the buccal cavity, the digestive tract and the vagina. Usually non-pathogenic except in case of dental caries, it can occasionally be the causal agent in severe endocarditis., Case Report: A 70-year-old woman developed endocarditis on an aortic valve bioprosthesis. Lactobacillus acidophilus was isolated from blood cultures of the valve after surgery., Comments: Forty-four cases of Lactobacillus endocarditis have been reported in the literature to date. Mortality is high (26%). The main difficulty in treatment is germ tolerance to penicillin and aminosides found in all cases. Cure requires high dose parenteral antibiotics and surgery in many cases (26%).
- Published
- 1998