Helcococcus kunzii prosthetic valve endocarditis secondary to lower extremity cellulitis

Saira Farid, William Miranda, Joseph Maleszewski, Muhammad Rizwan Sohail

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

An 88-year-old man with history of bioprosthetic aortic valve replacement was hospitalised with fever, chills, malaise and right lower extremity cellulitis. Laboratory investigations revealed leucocytosis and blood cultures grew Helcococcus kunzii. Although transoesophageal echocardiography was negative for endocarditis, the patient was treated with 4 week of intravenous ceftriaxone. However, he was readmitted 6 weeks later with symptoms of fever, chills and hypoxia in setting of recurrent H. kunzii bacteraemia. A repeat transoesophageal echocardiogram revealed a mobile mass on bioprosthetic aortic valve, severe perivalvular insufficiency with pseudoaneurysm formation, and severe native mitral and tricuspid valve regurgitation. Cardiothoracic surgery was consulted and the patient underwent replacement of aortic valve and aortic root, and tricuspid and mitral valve repairs. Histological examination of excised bioprosthetic aortic valve revealed active endocarditis with cocci identified on silver stain. Patient was successfully treated with 4-week course of intravenous ceftriaxone and was doing well at 2-year follow-up.

Original languageEnglish (US)
Article number219330
JournalBMJ Case Reports
Volume2017
DOIs
StatePublished - 2017

Fingerprint

Cellulitis
Endocarditis
Aortic Valve
Lower Extremity
Chills
Ceftriaxone
Fever
Tricuspid Valve Insufficiency
Tricuspid Valve
False Aneurysm
Transesophageal Echocardiography
Leukocytosis
Mitral Valve Insufficiency
Bacteremia
Mitral Valve
Silver
Coloring Agents

Keywords

  • Cardiothoracic surgery
  • Infectious diseases

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Helcococcus kunzii prosthetic valve endocarditis secondary to lower extremity cellulitis. / Farid, Saira; Miranda, William; Maleszewski, Joseph; Sohail, Muhammad Rizwan.

In: BMJ Case Reports, Vol. 2017, 219330, 2017.

Research output: Contribution to journalArticle

Farid, Saira ; Miranda, William ; Maleszewski, Joseph ; Sohail, Muhammad Rizwan. / Helcococcus kunzii prosthetic valve endocarditis secondary to lower extremity cellulitis. In: BMJ Case Reports. 2017 ; Vol. 2017.
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