Listeria monocytogenes endocarditis in a patient with an aortic prosthetic valve

doi:10.1016/0300-2977(95)00046-1

The Netherlands Journal of Medicine

Volume 48, Issue 1, January 1996, Pages 15-17

The Netherlands Jour...

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Abstract

Patients with prosthetic cardiac valves have an increased risk of developing bacterial endocarditis. The causative micro-organism in bacterial endocarditis may be a guide to the portal of entry. In this case report, we describe a patient with a prosthetic cardiac valve who suffered from recurrent endocarditis with different micro-organisms from the gastrointestinal tract.

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Cited by (7)

Recurrent endocarditis caused by Streptococcus oralis, Streptococcus bovis, and Enterococcus faecalis
2005, Clinical Microbiology Newsletter
Prosthetic valve endocarditis due to Listeria monocytogenes: Report of two cases and reviews
2004, International Journal of Infectious Diseases
Introduction: Endocarditis due to Listeria monocytogenes is a rare but serious disease often leading to valve dysfunction and heart failure. Two cases of listerial prosthetic valve endocarditis are reviewed along with 66 cases previously reported.
Results: The mean age of patients with listerial endocarditis increased from 47.1 years in the decades from 1955–1984 to 65.5 years from 1985–2000. Chronic debilitating diseases, solid tumours and immunosuppression associated with organ transplantation, hematologic neoplasia or AIDS were found in 41.1% of cases. Listerial endocarditis was a vegetative and destructive process, with dehiscense of the prosthesis and occasionally, abscess formation, fistulization and pericarditis. Treatment with penicillin or ampicillin alone or combined with gentamicin was adequate therapy in most cases. Vancomycin together with gentamicin may be a reasonable alternative therapy.
Conclusions: Despite problems associated with microbial persistence and relapses in other forms of human listeriosis, antimicrobial therapy alone may be a successful treatment for listerial endocarditis, including cases occurring on prosthetic valves. Valve replacement may be reserved for complicated cases with valve dehiscense, cardiac failure or myocardial abscess. Overall mortality was 35.3%, although most patients who died did so before 1985 and since then mortality has been significantly reduced to 12%.
Do not snog the dog: Infective endocarditis due to Capnocytophaga canimorsus
1999, European Journal of Cardio-thoracic Surgery
Colovesical fistula presenting as Listeria monocytogenes bacteraemia
2015, BMJ Case Reports
Infective endocarditis caused by Listeria monocytogenes: Review of the literature and a case report
2013, Revista Chilena de Infectologia
Outcome of Listeria monocytogenes prosthetic valve endocarditis: As bad as it looks?
2004, Scandinavian Journal of Infectious Diseases

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The Netherlands Journal of Medicine

Abstract

References (11)

Association of sporadic listeriosis with consumption of uncooked hot dogs and undercooked chicken

Lancet

Clinical and laboratory aspects of Listeria monocytogenes infections with a report of ten cases

Am J Med

Unusual bacterial causes of endocarditis

Listeriosis in the United States: 1980–1982

Arch Intern Med

Epidemiology of bacterial endocarditis in the Netherlands. I. Patient characteristics

Arch Intern Med

Cited by (7)

Recurrent endocarditis caused by Streptococcus oralis, Streptococcus bovis, and Enterococcus faecalis

Prosthetic valve endocarditis due to Listeria monocytogenes: Report of two cases and reviews

Do not snog the dog: Infective endocarditis due to Capnocytophaga canimorsus

Colovesical fistula presenting as Listeria monocytogenes bacteraemia

Infective endocarditis caused by Listeria monocytogenes: Review of the literature and a case report

Outcome of Listeria monocytogenes prosthetic valve endocarditis: As bad as it looks?

Brief reportListeria monocytogenes endocarditis in a patient with an aortic prosthetic valve

Abstract

Lancet

Am J Med

Unusual bacterial causes of endocarditis

Listeriosis in the United States: 1980–1982

Arch Intern Med

Epidemiology of bacterial endocarditis in the Netherlands. I. Patient characteristics

Arch Intern Med

Brief report
Listeria monocytogenes endocarditis in a patient with an aortic prosthetic valve