PT  - JOURNAL ARTICLE
AU  - Liu, Charles Ruohua
AU  - Heid, Christopher A
AU  - Chandra, Raghav
AU  - Hauptmann, Edward
AU  - Brickner, Mary Elizabeth
AU  - Hwang, Michael
AU  - Wait, Michael A
TI  - <em>Gemella morbillorum</em> mitral valve endocarditis in a patient with a history of mitral valve annuloplasty
AID  - 10.1136/bcr-2021-247033
DP  - 2022 Apr 01
TA  - BMJ Case Reports
PG  - e247033
VI  - 15
IP  - 4
4099  - http://casereports.bmj.com/content/15/4/e247033.short
4100  - http://casereports.bmj.com/content/15/4/e247033.full
SO  - BMJ Case Reports2022 Apr 01; 15
AB  - A woman with a history of congenital heart disease status post multiple valve operations including mitral valve repair presented with 2 months of low back pain and general malaise. Blood cultures returned positive for Gram-positive cocci. While transthoracic echocardiography did not identify vegetations, transoesophageal echocardiography visualised vegetations on the patient’s mitral valve, which had previously undergone repair with annuloplasty. The patient was found to have infectious endocarditis (IE), caused by Gemella morbillorum. The patient was treated with over 6 weeks of intravenous antibiotics. Cases of Gemella-associated IE are rare and largely relegated to case reports. This report aims to contribute to the literature regarding this subject, and to further characterise the presentation and treatment of Gemella-associated IE. Additionally, this report emphasises the importance of maintaining a high suspicion of IE in a patient with non-specific malaise in the setting of prior cardiac valve operation.