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Capnocytophaga canimorsus: a rare case of conservatively treated prosthetic valve endocarditis
Authors:Päivi Jalava‐Karvinen  Juha O. Grönroos  Helena Tuunanen  Jukka Kemppainen  Jarmo Oksi  Ulla Hohenthal
Affiliation:1. Division of Medicine, Turku University Hospital, Turku, Finland;2. Faculty of Medicine, University of Turku, Turku, Finland;3. Department of Clinical Microbiology, Turku University Hospital, Turku, Finland;4. Department of Heart Center, Turku University Hospital, Turku, Finland;5. Department of Clinical Physiology and Nuclear Medicine and Turku PET Centre, Turku University Hospital, Turku, Finland
Abstract:We describe a rare case of prosthetic valve endocarditis caused by the canine bacterium Capnocytophaga canimorsus in a male aged 73 years. The diagnosis of infective endocarditis was unequivocal, as it blood cultures were positive for C. canimorsus and vegetations were detected on transesophageal echocardiography; the modified Duke criteria were fulfilled. PET‐CT showed intense 18F‐FDG uptake of the prosthetic valve area. The patient was treated with antibiotics alone (no surgery), and is now on life‐long suppressive antibiotic therapy. To our knowledge, this is the third reported case of prosthetic valve endocarditis caused by C. canimorsus and the first one to have been treated conservatively.
Keywords:Prosthetic valve endocarditis     Capnocytophaga canimorsus     antibiotic treatment  dog  clinical microbiology
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