Native Valve Endocarditis Due to a Nocardia-like Organism

Infections due to Nocardia species have been recognized in humans for more than a century, since Eppinger described the first case in 1890. Nocardial infections have a predilection for the lungs, skin and soft tissues, and the CNS. Endocarditis due to Nocardia species is rare, having been reported p...

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Bibliographic Details
Published in:	Clinical infectious diseases Vol. 27; no. 4; pp. 902 - 904
Main Authors:	Dhawan, Vinod K., Gadgil, Uday G., Paliwal, Yogesh K., Chaurushiya, Purnima S., Trivedi, Rohit R.
Format:	Journal Article Conference Proceeding
Language:	English
Published:	Chicago, IL The University of Chicago Press 01-10-1998 University of Chicago Press
Subjects:	Abscesses Ankle Antibiotics Bacterial diseases Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels Biological and medical sciences Brief Reports Endocarditis Endocarditis, Bacterial - drug therapy Endocarditis, Bacterial - microbiology Endocarditis, Bacterial - physiopathology Female Heart valves Human bacterial diseases Humans Infections Infectious diseases Medical sciences Middle Aged Mitral Valve - microbiology Mitral Valve - pathology Nocardia Nocardia asteroides Nocardia Infections - drug therapy Nocardia Infections - microbiology Nocardia Infections - physiopathology Prosthetic heart valves Skin Human Nocardia Mitral valve Actinomycosis Cardiovascular disease Nocardiaceae Actinomycetales Infection Case study Nocardiosis Heart disease Endocardial disease Endocarditis Bacteriosis Bacteria Adult Female Actinomycetes
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Summary:	Infections due to Nocardia species have been recognized in humans for more than a century, since Eppinger described the first case in 1890. Nocardial infections have a predilection for the lungs, skin and soft tissues, and the CNS. Endocarditis due to Nocardia species is rare, having been reported previously in only six patients, all in the setting of prosthetic valve placements. To our knowledge, based on a review of the English-language literature, we describe the first case of nocardial endocarditis associated with a native mitral valve. A 46-year-old Hispanic woman was admitted to Pomona Valley Hospital Medical Center (Pomona, CA) on 11 August 1994 for evaluation of pain and swelling of her left second toe for 1 week and a fever of 3 days' duration.
Bibliography:	Reprints or correspondence: Dr. Vinod K. Dhawan, Division of Infectious Diseases, Department of Internal Medicine, King-Drew Medical Center, 12021 South Wilmington Avenue, Los Angeles, California 90059. ark:/67375/HXZ-Q5KGGVQH-9 istex:305F130D5BF61FB4D9FDE54A97C2C8507DE382C9 ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Case Study-3 ObjectType-Review-1 ObjectType-Feature-5 ObjectType-Report-2 ObjectType-Article-4
ISSN:	1058-4838 1537-6591
DOI:	10.1086/517166