Fatal Case of Endocarditis Due to Weissella confusa

Author:

Flaherty James D.1,Levett Paul N.2,Dewhirst Floyd E.3,Troe Theodore E.4,Warren John R.4,Johnson Stuart56

Affiliation:

1. Departments of Medicine

2. Special Bacteriology Reference Laboratory, Meningitis and Special Pathogens Branch, Centers for Disease Control and Prevention, Atlanta, Georgia

3. Department of Molecular Genetics, Forsyth Institute, Boston, Massachusetts

4. Pathology

5. Infectious Diseases, Feinberg School of Medicine, Northwestern University

6. Lakeside Division, Veterans Affairs Chicago Health Care System, Chicago, Illinois

Abstract

ABSTRACT This is the first reported case of endocarditis due to the Lactobacillus -like vancomycin-resistant gram-positive bacillus Weissella confusa . Full identification and susceptibility testing of Lactobacillus -like organisms recovered in blood culture should be performed for patients with clinical presentations that suggest endocarditis.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference17 articles.

1. Gapped BLAST and PSI-BLAST: a new generation of protein database search programs

2. Abscess caused by vancomycin-resistant Lactobacillus confusus

3. Bayer, A. S., A. W. Chow, D. Betts, and L. B. Guze. 1978. Lactobacillemia—report of nine cases. Am. J. Med.64:808-813.

4. Bessis, D., A. Le Quellec, A. Sotto, C. Perez, and A.-J. Ciurana. 1995. Lactobacillus acidophilus endocarditis after an appendectomy. Clin. Infect. Dis.20:724-725.

5. Bjoerkroth, K. J., U. Schillinger, R. Geisen, N. Weiss, B. Hoste, W. H. Holzapfel, H. J. Korkeala, and P. Vandamme. 2002. Taxonomic study of Weissella confusa and description of Weissella cibaria sp. nov., detected in food and clinical samples. Int. J. Syst. Evol. Microbiol. 52:141-148.

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