Rare Case of Infective Endocarditis Due to Gemella Morbillorum in Patient with Bicuspid Aortic Valve
Dghoughi Sarah *
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
Jama Dounia
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
Charif Hanae
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
Mounaouir Karim
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco.
Bouziane Maha
Department of Cardiology, and Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco.
Haboub Meryem
Department of Cardiology, and Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco.
Bennouna El Ghali
Department of Cardiology, and Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco.
Drighil Abdenasser
Department of Cardiology, and Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco.
Habbal Rachida
Department of Cardiology, and Faculty of Medicine and Pharmacy, Ibn Rochd University Hospital, Casablanca, Hassan II University of Casablanca, Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Infective endocarditis caused by Gemella morbillorum is one of the rare causative microorganisms of endocarditis and only a few cases have been reported in the literature so far. We describe a case of Gemella morbillorum endocarditis in a 37-year-old Moroccan man who had a congenitally bicuspid aortic valve. He presented to our institution with a 1.5-month history of fever, and the onset of a motor deficit in the right hemibody one day prior to consultation. A transthoracic echocardiogram showed two large, echogenic and mobile vegetations (30×8 mm) with perforation of the left cusp and fistulized abscess of the anterior mitral leaflet measuring approximately 16x20mm. Blood cultures of the patient grew pan-sensitive Gemella morbillorum. The patient fulfilled the Duke’s criteria for infective endocarditis. The patient was successfully treated with antibiotics and aortic and mitral valves replacement.
Keywords: Infective endocarditis, bicuspid aortic valve, Gemella morbillurum, embolism