Kader ARSLAN, Mehtap ALEV, Salih CESUR, Esra Kaya KILIÇ, Çiğdem Ataman HATİPOĞLU, Sami KINIKLI

Septik emboliler ve akut koroner sendromla seyreden Abiotrophia defectiva’ya bağlı bir enfektif endokardit olgusu

Abiotrophia defectiva (A.defectiva), eskiden nutrisyonel varyant streptokoklar olarak isimlendirilen, günümüzde Abiotrophia cinsi içinde sınıflandırılan, katalaz negatif, Gram pozitif koklardır. A.defectiva’nın üremesi için besiyerinde pridoksin ve L-sistein gibi bazı nutrisyonel maddelere gereksinim vardır, bu nedenle rutin besiyerlerinde üretilemez. A. defectiva’ya bağlı olarak enfektif endokardit gelişimi oldukça nadirdir. Bu yazıda, septik emboli ve akut koroner sendrom ile birlikte A. defectiva’ya bağlı olarak enfektif endokardit gelişen, mitral kapak replasmanı ve antibiyotik tedavisi sonrası düzelen 38 yaşında bir erkek hasta sunulmuştur.

Anahtar Kelimeler:

Enfektif endokardit, doğal kapak, Abiotrophia defectiva

Infective endocarditis case due to Abiotrophia defectiva concurrent with septic embolism and acute coronary syndrome

Abiotrophia defectiva (A. defectiva) , formely named as nutritionally variant streptoccocci, nowadays it was classified in Abiotrophia genus. A.defectiva is catalase negative, Gram positive coccus. These bacteria need some essential nutrients such as pyridoxine and L-cysteine etc. for growth, for his reason do not grow in routine cultures. Endocarditis due to A.defectiva is rarely seen.In this manuscript, we report 38 years old male who has infective endocarditis due to A. defectivaconcurrent with septic embolism and acute coronary syndrome; he was recovered with mitral valve replacement and antibiotic treatment

Keywords:

Infective endocarditis, native valve, Abiotophia defectiva,

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