Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Dec 17:2014:bcr2014207361.
doi: 10.1136/bcr-2014-207361.

Abiotrophia defectiva endocarditis

Jodian Amor Pinkney  1 , Rajeev Peeyush Nagassar  2 , Karen Judith Roye-Green  3 , Trevor Ferguson  1
Affiliations
Case Reports

Abiotrophia defectiva endocarditis

Jodian Amor Pinkney et al. BMJ Case Rep. .

Abstract

A previously healthy 27-year-old Jamaican man presented to the University Hospital of the West Indies with recurrent joint pain, remitting and relapsing fever, and shortness of breath. He was subsequently found to have Abiotrophia defectiva endocarditis. This was the first time this organism had been isolated at our institution. Despite culture directed antibiotics, his clinical course was quite severe with mitral regurgitation and congestive cardiac failure requiring mitral valve replacement. He recovered well postoperatively and is currently being followed at our outpatient cardiology clinic. This report highlights the severe presentation and often poor outcome associated with A. defectiva endocarditis and stresses that the outcome may be improved by early and appropriate surgical intervention.

PubMed Disclaimer

References

    1. Bouvet A, Grimont F, Grimont PA. Streptococcus defectivus sp. nov. and Streptococcus adjacens sp. nov, nutritionally variant streptococci from human clinical specimens. Int J Sys Bacteriol 1989;39:290–4. - PubMed
    1. Senn L, Entenza JM, Greub G et al. . Bloodstream and endovascular infections due to Abiotrophia defectiva and Granulicatella species. BMC Infect Dis 2006;6:9. - PMC - PubMed
    1. Giuliano S, Caccese R, Carfagna P et al. . Endocarditis caused by nutritionally variant streptococci: a case report and literature review. Infez Med 2012;20:67–74. - PubMed
    1. Al-Jasser AM, Enani MA, Al-Fagih MR. Endocarditis caused by Abiotrophia defectiva. Libyan J Med 2007;2:43–5. - PMC - PubMed
    1. Roberts RB, Krieger AG, Schiller NL et al. . Viridans streptococcal endocarditis: the role of various species, including pyridoxal-dependent streptococci. Rev Infect Dis 1979;1:955–66. - PubMed

Publication types

MeSH terms

Substances