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CASE REPORT
Abiotrophia defectiva endocarditis
  1. Jodian Amor Pinkney1,
  2. Rajeev Peeyush Nagassar2,
  3. Karen Judith Roye-Green3,
  4. Trevor Ferguson1
  1. 1Department of Medicine, University Hospital of the West Indies, Kingston, Jamaica
  2. 2Department of Microbiology, The Eastern Regional Health Authority, Sangre Grande, Trinidad and Tobago
  3. 3Department of Microbiology, The University of the West Indies, Kingston, Jamaica
  1. Correspondence to Dr Jodian Amor Pinkney, ameeejp{at}hotmail.com

Summary

A previously healthy 27-year-old Jamaican man presented to the University Hospital of the West Indies with recurrent joint pain, remitting and relapsing fever, and shortness of breath. He was subsequently found to have Abiotrophia defectiva endocarditis. This was the first time this organism had been isolated at our institution. Despite culture directed antibiotics, his clinical course was quite severe with mitral regurgitation and congestive cardiac failure requiring mitral valve replacement. He recovered well postoperatively and is currently being followed at our outpatient cardiology clinic. This report highlights the severe presentation and often poor outcome associated with A. defectiva endocarditis and stresses that the outcome may be improved by early and appropriate surgical intervention.

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