[Lethal aortic endocarditis due to Gemella morbillorum in a Djiboutian khat user]. / Endocardite aortique fatale due à Gemella morbillorum chez un consommateur de khat de Djibouti.

We report a 22-year-old man who presented in January 2009 in Djibouti for an aortic-abscessed endocarditis due to Gemella morbillorum (G. morbillorum). A voluminous aortic abscess that extended to the perimembranous ventricular septum was fistulized into the right atrium. Atrioventricular conduction abnormalities were observed. The portal of entry was dental with multiples caries and a periodontitis attributed to khat chewing. The patient died within few days. Diagnosis, severity and management of endocarditis due to this rare bacterium are discussed.

An unintentional left ventricular stimulation.

A 31-year-old man had undergone pacemaker implantation for complete atrio-ventricular block six years before. Permanent ventricular stimulation was seen on the ECG. The QRS complex was negative in leads I, VL and V2 to V5. The ventricular lead tip was found to be screwed into a branch of the great cardiac vein. Unintentional coronary sinus fixed-screw lead implantation has not to our knowledge been reported before.