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A case of infective endocarditis caused by Kocuria rosea in a non-compromised patient

Published:November 15, 2022DOI:https://doi.org/10.1016/j.jccase.2022.10.013

      Abstract

      A 79-year-old male with no history of immunodeficiency was transferred to our hospital complaining of shortness of breath and general fatigue. He was diagnosed with recent myocardial infarction and underwent emergent percutaneous coronary intervention. However, the course of congestive heart failure was poor, and he required respiratory support and renal replacement therapy. Kocuria rosea was detected in blood culture obtained on admission, and then a follow-up echocardiogram revealed infective endocarditis. We administered ampicillin-sulbactam and performed urgent operation. The post-operative course was uneventful with 4-week administration of antimicrobial agents.

      Learning objectives

      Infective endocarditis caused by Kocuria rosea may also occur in non-compromised patients although K. rosea infections have been reported only in compromised hosts. This pathogen is sensitive to a variety of antibiotics. We selected ampicillin-sulbactam to treat infective endocarditis based on a sensitivity examination, and the patient's post-operative clinical course was uneventful. Ampicillin-sulbactam may be a useful treatment option.

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      References

        • Ubaldo H.D.C.
        • Mesquita L.A.F.
        • Tarlé R.G.
        Disseminated purpura as the main clinical feature of a rare case of infective native endocarditis by Kocuria rosea.
        J Clin Aesthet Dermatol. 2019; 12: 13-14
        • Gunaseelan P.
        • Suresh G.
        • Raghavan V.
        • Varadarajan S.
        Native valve endocarditis caused by Kocuria rosea complicated by peripheral mycotic aneurysm in an elderly host.
        J Postgrad Med. 2017; 63: 135-137
        • Srinivasa K.H.
        • Agrawal N.
        • Agarwal A.
        • Manjunath C.N.
        Dancing vegetations: Kocuria rosea endocarditis.
        BMJ Case Rep. 2013; 2013bcr2013010339
        • Moreira J.S.
        • Riccetto A.G.
        • Silva M.T.
        • Vilela M.M.
        Endocarditis by Kocuria rosea in an immunocompetent child.
        Braz J Infect Dis. 2015; 19: 82-84
        • Nakatani S.
        • Ohara T.
        • Ashihara K.
        • Izumi C.
        • Iwanaga S.
        • Eishi K.
        • Okita Y.
        • Daimon M.
        • Kimura T.
        • Toyoda K.
        • Nakase H.
        • Nakano K.
        • Higashi M.
        • Mitsutake K.
        • Murakami T.
        • et al.
        JCS 2017 guideline on prevention and treatment of infective endocarditis.
        Circ J. 2019; 83: 1767-1809
        • Matsuno Y.
        • Fukumoto Y.
        • Ishida N.
        • Shimabukuro K.
        • Takemura H.
        Mycotic left main coronary artery aneurysm following double-valve replacement for active infective endocarditis.
        Ann Thorac Cardiovasc Surg. 2013; 19: 70-72