Abstract
We present a rare case of infectious endocarditis caused by Lactobacillus acidophilus in a patient on long-term steroid use for autoimmune hepatitis. In vitro susceptibility-guided antibiotics with benzylpenicillin plus clindamycin and successive mitral annuloplasty resulted in a favorable outcome. Infectious endocarditis was suspected to be a complication of mistreated periodontal infection. Maintenance of oral hygiene is important in immunocompromised patients.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Clindamycin / therapeutic use
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Combined Modality Therapy
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Dental Caries / complications*
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Dental Caries / microbiology*
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Dental Caries / therapy
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Endocarditis, Bacterial / etiology*
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Endocarditis, Bacterial / microbiology
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Endocarditis, Bacterial / therapy
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Female
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Gram-Positive Bacterial Infections / etiology*
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Gram-Positive Bacterial Infections / microbiology
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Gram-Positive Bacterial Infections / therapy
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Hepatitis, Autoimmune / complications
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Humans
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Immunocompromised Host
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Lactobacillus acidophilus / isolation & purification
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Lactobacillus acidophilus / pathogenicity*
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Mitral Valve Annuloplasty
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Oral Hygiene
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Penicillin G / therapeutic use
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Periodontitis / complications
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Periodontitis / microbiology
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Periodontitis / therapy
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Prednisolone / adverse effects
Substances
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Anti-Bacterial Agents
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Clindamycin
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Prednisolone
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Penicillin G