Granulicatella adiacens: A Rare Cause of Infective Endocarditis: A Case Report  

作　　者：Manuji Bandara Manuji Bandara(Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka)

机构地区：[1]Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka

出　　处：《Case Reports in Clinical Medicine》2024年第10期425-431,共7页临床医学病理报告（英文）

摘　　要：Granulicatella adiacens (G. adiacens), formerly classified as a nutritionally variant streptococci (NVS), is a commensal organism in the mouth. It is known to be a rare cause of infective endocarditis (IE). This case report presents a case of IE caused by G. adiacens in a 63-year-old man with mitral valve prolapse (MVP), severe mitral regurgitation (MR), and dual vessel disease (DVD). G. adiacens was isolated from two of three blood cultures, and the organism was sensitive to penicillin, vancomycin, cefotaxime, and gentamicin. He was successfully treated with a combination of ceftriaxone and gentamicin. Prompt identification of the organism and determination of antibiotic sensitivity pattern led to successful treatment. This case report showcases the challenges in diagnosis, and treatment, giving insight to healthcare providers on a rare entity.Granulicatella adiacens (G. adiacens), formerly classified as a nutritionally variant streptococci (NVS), is a commensal organism in the mouth. It is known to be a rare cause of infective endocarditis (IE). This case report presents a case of IE caused by G. adiacens in a 63-year-old man with mitral valve prolapse (MVP), severe mitral regurgitation (MR), and dual vessel disease (DVD). G. adiacens was isolated from two of three blood cultures, and the organism was sensitive to penicillin, vancomycin, cefotaxime, and gentamicin. He was successfully treated with a combination of ceftriaxone and gentamicin. Prompt identification of the organism and determination of antibiotic sensitivity pattern led to successful treatment. This case report showcases the challenges in diagnosis, and treatment, giving insight to healthcare providers on a rare entity.

关 键 词：Granulicatella adiacens Infective Endocarditis Nutritionally Variant Streptococci Antibiotic Sensitivity Pattern Mitral Valve Disease 

分 类 号：R73[医药卫生—肿瘤]