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Case Reports
. 1998 Jun 13;27(21):1009-12.

[Lactobacillus acidophilus endocarditis]

[Article in French]
J P Penot  1 , P Lagrange, N Darodes, M C Ploy, T Violet, P Virot, L Mansour, J Bensaid
Affiliations
  • PMID: 9767820
Case Reports

[Lactobacillus acidophilus endocarditis]

[Article in French]
J P Penot et al. Presse Med. .

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%).

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