Fulminant endocarditis caused by Streptobacillus moniliformis in a young man Markus Kondruweit, MD, Michael Weyand, MD, Faidi Omar Mahmoud, MD, Walter.

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Presentation transcript:

Fulminant endocarditis caused by Streptobacillus moniliformis in a young man Markus Kondruweit, MD, Michael Weyand, MD, Faidi Omar Mahmoud, MD, Walter Geissdoerfer, PhD, Christoph Schoerner, MD, Dieter Ropers, MD, Stephan Achenbach, MD, Thomas Strecker, MD The Journal of Thoracic and Cardiovascular Surgery Volume 134, Issue 6, Pages 1579-1580 (December 2007) DOI: 10.1016/j.jtcvs.2007.08.010 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Transesophageal echocardiogram revealed a giant floating vegetation on a degenerated, insufficient aortic valve and a large perivalvular abscess cavity. The annulus was almost completely destroyed. LV, Left ventricle; RV, right ventricle. B, Intraoperative photograph showing the massive inflammatory vegetations on the aortic valve and the huge abscess formation near the annulus. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1579-1580DOI: (10.1016/j.jtcvs.2007.08.010) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Microbiology: A, Gram stain of the explanted aortic valve tissue showing pleomorphic Gram-variable bacteria, which appear as straight rods (upper arrows) and curved or filamentous rods (lower arrows). B, Gram stain of primary Streptobacillus moniliformis culture after 48 hours of growth on sheep blood agar showing long curved filamentous bacteria. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 1579-1580DOI: (10.1016/j.jtcvs.2007.08.010) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions