First Report of Granulicatella sp. Endocarditis in a Kidney Transplant Patient
Abstract Granulicatella and Abiotrophia are genera of fastidious Gram-positive cocci commensal of the oral, genitourinary, and intestinal flora. We report the first case of infective endocarditis caused by Granulicatella sp. in a kidney transplant recipient. A 67-year-old male kidney transplant recipient was admitted to the hospital for investigation of fever, abdominal pain, and diarrhea. On physical examination, he was dehydrated. Laboratory tests identified impaired renal function (creatinine level of 15.5 mg/dl; reference, 3.0 mg/dl), metabolic acidosis, and electrolyte disturbances. Cryptosporidium sp. was identified as the cause of the diarrhea, and the infection was treated with nitazoxanide. On admission, cultures of blood, urine, and stool samples were negative. Echocardiography results were normal. Despite the antimicrobial treatment, the fever persisted. A transthoracic echocardiogram revealed infective endocarditis of the mitral valve, and Granulicatella spp. were isolated in blood cultures. Although the patient was treated with penicillin and amikacin, he evolved to septic shock of pulmonary origin and died. Infective endocarditis caused by Granulicatella sp. should be suspected in cases of culture-negative endocarditis.
Main Authors: | Paula,Flávio Jota de, Neves,Precil Diego Miranda de Menezes, Bridi,Ramaiane Aparecida, Song,Alice Tung Wan, David-Neto,Elias |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Sociedade Brasileira de Nefrologia
2017
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002017000300341 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Endocarditis Infecciosa por Granulicatella adiacens: Reporte de un caso
by: Sánchez Jiménez,Erick, et al.
Published: (2016) -
Granulicatella spp.
by: Reyes,César, et al.
Published: (2015) -
Native valve endocarditis and femoral embolism due to Granulicatella adiacens: a rare case report
by: Vandana,KE, et al.
Published: (2010) -
Infective endocarditis on a percoutaneous prosthetic aortic valve with associated glomerulopathy due to Granulicatella adjacens
by: Quiroga,Borja, et al.
Published: (2012) -
The perception of sleep quality in kidney transplant patients during the first year of transplantation
by: Silva,Dnyelle Souza, et al.
Published: (2012)