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Infectious endocarditis caused by Lactobacillus acidophilus in a patient with mistreated dental caries. 2012
Takeshi Nishijima, and
Katsuji Teruya, and
Mikio Yanase, and
Yuiichi Tamori, and
Kazuhisa Mezaki, and
Shinichi Oka
AIDS Clinical Center, National Center for Global Health and Medicine, Japan.
We present a rare case of infectious endocarditis caused by Lactobacillus acidophilus in a patient on long-term steroid use for autoimmune hepatitis. In vitro susceptibility-guided antibiotics with benzylpenicillin plus clindamycin and successive mitral annuloplasty resulted in a favorable outcome. Infectious endocarditis was suspected to be a complication of mistreated periodontal infection. Maintenance of oral hygiene is important in immunocompromised patients.
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