Case Report

Abiotrophia defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease

Volume: 07 Number: 04 December 1, 2017
  • Yu Jun Wong *
  • Bee Xian Tan
  • Maciej Piotr Chlebicki
  • Brian John Schwender
EN

Abiotrophia defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease

Abstract

Abiotrophia defectiva (formerly referred to as nutritionally variant Streptococcus) is a normal flora of the human gastrointestinal tract. Abiotrophia defectiva is associated with high morbidity and mortality, yet timely diagnosis is challenging. Higher incidence of endocarditis was reported among patients with inflammatory bowel disease (IBD) from a retrospective study. We highlighted the diagnostic and management challenges of a case of rare subacute endocarditis by Abiotrophia defectiva in an IBD patient without predisposing valvular defect, prior central catheter insertion or intravenous drug abuse, suggesting gut translocation as a possible etiology of infective endocarditis among IBD patients. J Microbiol Infect Dis 2017; 7(4):217-219

Keywords

References

  1. 1. Bouvet A. Human endocarditis due to nutritionally variant streptococci: Streptococcus adjacens and Streptococcus defectivus. Eur Heart J 1995; 16 (suppl B): 24-27. 2. Ramos JN, Santos LSD, Damasco PV, et al. A case report and literature overview: Abiotrophia defectiva aortic valve endocarditis in developing countries. Infection 2014; 42: 579-584 3. Brouqui P, Raoult D. Endocarditis due to rare and fastidious bacteria. Clin Microbiol Rev 2001; 14:177-207. 4. Hashimoto T, Jodo S, Koike T, et al. A woman with infective endocarditis caused by Abiotrophia defectiva. Int Med 2004; 43 (10): 1000-1004 5. Kreuzpaintner G, Horstkotte D, Strohmeyer G, et al. Increased risk of bacteria endocarditis in inflammatory bowel disease. Am J Med 1992; 92:391-395. 6. Hatsanos KH, Tsianos EV. The heart in inflammatory bowel disease. Ann Gastroenterol 2002; 15: 124-133. 7. Castillo DJC, Anquita SM, Valles BF, et al. Aneurysm of the anterior mitral valve in a case of aortic endocarditis in a patient with ulcerative colitis. Rev Esp 1998; 51: 604-606. 8. Ali AM, Hamid H, Mohamad AK, et al. Infective endocarditis presented as a right atrium mass in a patient with ulcerative colitis. Case report in cardiology 2015. Article ID 789170, 3 pages. 9. Tuazon CU, Gill V, Gill F, et al. Streptococcal endocarditis: single vs. combination antibiotic therapy and role of various species. Rev Infect Dis 1986; 8:54-60. 10. Frehel C, Hellio R, Bouvet A, et al. Nutritionally variant streptococci develop ultra-structural abnormalities during experimental endocarditis. Microb Pathog 1988; 4:247-255. 11. Rouff KL. Nutritionally Variant Streptococci. Clin Microb Rv 1991: 184-190 12. Touhy MJ, Procop GW, Washington JA, et al. Antimicrobial susceptibility of Abiotrophia adiacens and Abiotrophia defective. Diagn Microbiol Infect Dis 2000; 38:189-191. 13. Liao CH, Teng LJ, Ho SW et al. Nutritionally variant streptococcal infections at a University hospital in Taiwan: disease emergence and high prevalence of beta-lactam and macrolide resistance. Clin Infect Dis 2004; 38:452-455. 14. Bouvet A, Anne CC, C Claude, et al. Comparison of Penicillin and Vancomycin, Individually and in Combination with Gentamicin and Amikacin, in the Treatment of Experimental Endocarditis Induced by Nutritionally variant Streptococci. Antimicrobial Agents and Chemotherapy 1985; 607-611. 15. Stein DS, Nelson KE. Endocarditis due to nutritionally deficient streptococci: Therapeutic dilemma. Rev Infect Dis 1987; 9(5): 908-916 16. Gilbert H, Patrizio L, Manual JA, et al. 2015 ESC guidelines for the management of infective endocarditis. Eur Heart J 2015; 36: 3075-3128.

Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Case Report

Authors

Yu Jun Wong * This is me

Bee Xian Tan This is me

Maciej Piotr Chlebicki This is me

Brian John Schwender This is me

Publication Date

December 1, 2017

Submission Date

July 7, 2017

Acceptance Date

November 9, 2017

Published in Issue

Year 2017 Volume: 07 Number: 04

APA
Wong, Y. J., Tan, B. X., Chlebicki, M. P., & Schwender, B. J. (2017). Abiotrophia defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease. Journal of Microbiology and Infectious Diseases, 07(04), 217-219. https://doi.org/10.5799/jmid.369281
AMA
1.Wong YJ, Tan BX, Chlebicki MP, Schwender BJ. Abiotrophia defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease. J Microbil Infect Dis. 2017;07(04):217-219. doi:10.5799/jmid.369281
Chicago
Wong, Yu Jun, Bee Xian Tan, Maciej Piotr Chlebicki, and Brian John Schwender. 2017. “Abiotrophia Defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease”. Journal of Microbiology and Infectious Diseases 07 (04): 217-19. https://doi.org/10.5799/jmid.369281.
EndNote
Wong YJ, Tan BX, Chlebicki MP, Schwender BJ (December 1, 2017) Abiotrophia defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease. Journal of Microbiology and Infectious Diseases 07 04 217–219.
IEEE
[1]Y. J. Wong, B. X. Tan, M. P. Chlebicki, and B. J. Schwender, “Abiotrophia defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease”, J Microbil Infect Dis, vol. 07, no. 04, pp. 217–219, Dec. 2017, doi: 10.5799/jmid.369281.
ISNAD
Wong, Yu Jun - Tan, Bee Xian - Chlebicki, Maciej Piotr - Schwender, Brian John. “Abiotrophia Defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease”. Journal of Microbiology and Infectious Diseases 07/04 (December 1, 2017): 217-219. https://doi.org/10.5799/jmid.369281.
JAMA
1.Wong YJ, Tan BX, Chlebicki MP, Schwender BJ. Abiotrophia defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease. J Microbil Infect Dis. 2017;07:217–219.
MLA
Wong, Yu Jun, et al. “Abiotrophia Defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease”. Journal of Microbiology and Infectious Diseases, vol. 07, no. 04, Dec. 2017, pp. 217-9, doi:10.5799/jmid.369281.
Vancouver
1.Yu Jun Wong, Bee Xian Tan, Maciej Piotr Chlebicki, Brian John Schwender. Abiotrophia defectiva: A Rare Gut Pathogen Resulting Endocarditis in Inflammatory Bowel Disease. J Microbil Infect Dis. 2017 Dec. 1;07(04):217-9. doi:10.5799/jmid.369281