[Bacillus cereus endocarditis and a probable cutaneous gateway]. / Endocardite à Bacillus cereus avec probable porte d'entrée cutanée.
Ann Dermatol Venereol
; 144(1): 45-48, 2017 Jan.
Article
em Fr
| MEDLINE
| ID: mdl-28341191
ABSTRACT
BACKGROUND:
Bacillus cereus is a ubiquitous telluric organism. B. cereus endocarditis is a rare condition seen mostly in prosthetic heart valves and among intravenous drug users. We report a new case of a patient without risk factors and with a good clinical outcome not requiring valve replacement. CASE REPORT In October 2014, a 50-year-old woman was referred to the dermatology department of Lille University Hospital for lower-limb wounds developing 6 months earlier. She presented fever without clinical signs of infection, except for the lower-limbs wounds. Blood cultures revealed the presence of B. cereus. Transesophageal echocardiography was performed and revealed two foci of aortic valve vegetation with a diameter of 5mm. After bacterial sensitivity testing, rifampicin and levofloxacin treatment was given for six weeks, with complete remission. A skin graft was performed and good improvement was seen.DISCUSSION:
Nineteen cases of B. cereus endocarditis have been described previously, only one of which was without risk factors. We described a case of complete remission after a 6-week course of antibiotics. Our case demonstrates that BC should not be considered as a blood culture contamination, and that treatment may be complex due to antibiotic resistance.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Rifampina
/
Bacillus cereus
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Endocardite
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Levofloxacino
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Úlcera da Perna
/
Antibacterianos
Idioma:
Fr
Ano de publicação:
2017
Tipo de documento:
Article