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.
Keywords
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References
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Article info
Publication history
Published online: November 15, 2022
Accepted:
October 18,
2022
Received in revised form:
October 2,
2022
Received:
June 6,
2022
Identification
Copyright
© 2022 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. All rights reserved.
