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Review
. 2013 Jul-Aug;65(4):442-6.
doi: 10.1016/j.ihj.2013.06.019. Epub 2013 Jul 23.

Streptobacillus moniliformis endocarditis: case report and review of literature

M Madhubashini  1 , Susan George, Sujatha Chandrasekaran
Affiliations
Review

Streptobacillus moniliformis endocarditis: case report and review of literature

M Madhubashini et al. Indian Heart J. 2013 Jul-Aug.

Abstract

Rat bite fever is a rare infection and sometimes results in complications. This case report describes native mitral valve endocarditis in a 44-year-old male patient caused by Streptobacillus moniliformis. The diagnosis was confirmed by transesophageal echocardiography and blood cultures (BACTEC). The patient was treated with IV crystalline penicillin (6 weeks) and gentamicin (2 weeks). The fundamental importance of a high index of suspicion, interpreting investigations and appropriateness of therapy are highlighted.

Keywords: Endocarditis; Mitral valve; Rat bite fever; Streptobacillus moniliformis.

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Figures

Fig. 1
Fig. 1
Transesophageal echocardiogram showing large vegetation on the mitral leaflet prolapsing into the left atrium.
Fig. 2
Fig. 2
Transesophageal echocardiogram showing severe eccentric mitral regurgitation due to MV endocarditis with Streptobacillus moniliformis.
See this image and copyright information in PMC

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