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Rare Case of Raoultella planticola Infective Endocarditis after Mitral Valve Replacement Surgery.

Diana Roxana OprișVictor VacariuAlexandru Petru IonTimea SzigyartoEmil-Marian ArbănaşiEliza RussuMaria Mihaela Opriș
Published in: Diseases (Basel, Switzerland) (2023)
Infective endocarditis remains a condition associated with high morbidity and mortality, regardless of advances in diagnosis and therapeutics. The etiology, microbiology, and epidemiology of infective endocarditis have changed in the last years, with healthcare-associated infective endocarditis being responsible for a myriad of cases. Raoultella planticola is rarely the cause of infective endocarditis. We present a 72-year-old Caucasian female with a history of mitral valve replacement for rheumatic valve disease two months before the current presentation, without any immunosuppressive pathologies, diagnosed with Raoultella planticola infective endocarditis. Long-drawn antibiotic treatment led to a full recovery with no evidence of recurrence or relapse. This report highlights the importance of a multimodal approach for the diagnosis of bacterial etiology, the importance of selection and duration of an appropriate antibiotic regimen, and the presence of a rare opportunistic bacteria that has proven pathogenicity in a wide range of organ systems, usually in patients with several risk factors.
Keyphrases
  • mitral valve
  • risk factors
  • healthcare
  • rare case
  • left atrial
  • minimally invasive
  • left ventricular
  • heart failure
  • case report
  • pain management
  • african american
  • biofilm formation
  • social media