Adult ; Endocarditis ; microbiology ; Humans ; Male ; Mycoses ; Recurrence

Actinobacillus actinomycetemcomitans, a rare human pathogen, was repeatedly isolated from the blood of a 20-year-old male patient with patent ductus arteriosus who developed subacute bacterial endocarditis. Difficulties in isolating and identifying the organism are discussed. The bacterial isolate was found to be susceptible to various antimicrobial agents.
Actinobacillus/isolation & purification* ; Adult ; Blood/microbiology* ; Case Report ; Endocarditis, Subacute Bacterial/microbiology* ; Human ; Male ; Septicemia/microbiology

Adult ; Endocarditis ; complications ; Endocarditis, Bacterial ; complications ; Heart Defects, Congenital ; complications ; Humans ; Male ; Pulmonary Valve ; microbiology

Endocarditis, Bacterial ; microbiology ; Female ; Humans ; Middle Aged ; Streptococcus

Adult ; Endocarditis, Bacterial ; microbiology ; Enterococcus faecium ; Humans ; Male

Adult ; Arcanobacterium ; pathogenicity ; Endocarditis ; microbiology ; Humans ; Male ; Young Adult

Adult ; Endocarditis ; complications ; microbiology ; Female ; Humans ; Pulmonary Embolism ; etiology ; Pulmonary Valve ; microbiology

Mural endocarditis causing myocardial abscess without valvular involvement is very rare. We report an unusual case of left atrial auricular abscess which was successfully treated by surgical resection, treatment with antibiotics, and mediastinal irrigation. A 9-yr-old female patient with previous history of urinary tract infection was admitted because of persistent fever. Echocardiography and magnetic resonance imaging revealed massive pericardial effusion and a mass lesion at the left upper cardiac border. Pericardiocentesis isolated Staphylococcus aureus on culture. The patient underwent mass removal under cardiopulmonary bypass. The mass was located in the left atrial auricle with fibropurulent abscess formation inside. Postoperative mediastinal irrigation was performed using povidone iodine solution. Pathological examination of the mass showed organized thrombi with chronic fibrosing mural endocarditis.
Abscess/microbiology/pathology/*surgery ; Child ; Endocarditis/microbiology/pathology/*surgery ; Female ; Heart Atria/microbiology/pathology ; Human ; Staphylococcal Infections/pathology/*surgery

Nonpathogenic Neisseria, normal inhabitants of the human nasopharynx, are known to cause occasional infections including such severe ones as septicemia, meningitis and endocarditis. Recently two strains of so called nonpathogenic. Neisseria, identified as N. subflava, were isolated from blood specimens of two different patients. One patient had meningitis, septicemia and subacute bacterial endocarditis while the other had septicemia. Pigment production by both of the strains was not definite and only a light yellow color was observed after prolonged incubation. However, the isolates showed bacteriological characteristics of N. subflava, namely gramnegative diplococci which were oxidase positive, acid production from fructose, glucose, maltose and sucrose but not from lactose or mannitol; and iodine reacting polysaccharide production from sucrose. One of the patients revealed serum agglutinin titers up to 1 : 640 against the isolate.
Adult ; Case Report ; Endocarditis, Subacute Bacterial/microbiology* ; Female ; Human ; Male ; Meningitis/microbiology* ; Middle Age ; Neisseria/isolation & purification* ; Septicemia/microbiology*

Human brucellosis has a broad spectrum of clinical manifestations, which includes endocarditis, a focal complication that is uncommon yet responsible for the majority of associated deaths. The most successful treatment outcomes of Brucella endocarditis have been reported with usage of both antimicrobial agents and surgery. However, there are few reports on the treatment of Brucella endocarditis using antibiotics only. We report the first case in Korea of Brucella endocarditis with aortic valve vegetations and an accompanying splenic abscess, which were treated successfully with antibiotic therapy alone.
Abscess/*microbiology ; Animals ; Aortic Valve/microbiology ; *Brucella abortus ; Brucellosis/*diagnosis ; Cattle ; Dairying ; Endocarditis/*microbiology ; Humans ; Korea ; Male ; Middle Aged ; Occupational Diseases/*microbiology ; Spleen/microbiology ; Zoonoses