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01.12.2011 | Case report | Ausgabe 1/2011 Open Access

Journal of Medical Case Reports 1/2011

Infective endocarditis with Lactococcus garvieae in Japan: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2011
Autoren:
Yukiko Watanabe, Toshio Naito, Ken Kikuchi, Yu Amari, Yuki Uehara, Hiroshi Isonuma, Teruhiko Hisaoka, Terutoyo Yoshida, Kenji Yaginuma, Norihide Takaya, Hiroyuki Daida, Keiichi Hiramatsu
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-5-356) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

YW drafted and edited the manuscript. TN, KK, YA, YU, HI, TH, and KH helped draft the manuscript. KY, NT, and HD helped in the patient's treatment after the diagnosis was made. TY helped in the investigation of L. garvieae as a fish pathogen. All authors read and approved the final manuscript.

Abstract

Introduction

Lactococcus garvieae is a well-recognized fish pathogen, and it is considered a rare pathogen with low virulence in human infection. We describe the 11th case of L. garvieae infective endocarditis reported in the literature, and the first reported case in Japan.

Case presentation

We report a case of a 55-year-old Japanese woman who had native valve endocarditis with L. garvieae. The case was complicated by renal infarction, cerebral infarction, and mycotic aneurysms. After anti-microbial treatment, she was discharged from the hospital and is now well while being monitored in the out-patient clinic.

Conclusion

We encountered a case of L. garvieae endocarditis that occurred in a native valve of a healthy woman. The 16S ribosomal RNA gene sequencing was useful for the identification of this pathogen. Although infective endocarditis with L. garvieae is uncommon, it is possible to treat high virulence clinically.

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