Benefits of a Pre-Treatment Comprehensive Geriatric Assessment in a Rare Case of Gemella Haemolysans Endocarditis in an 86-Year-Old Patient and a Review of the Literature

Medicina (Kaunas). 2019 Jun 20;55(6):292. doi: 10.3390/medicina55060292.

Abstract

Infective endocarditis is a serious condition, which is associated with high mortality in elderly patients. Gemella haemolysans (GH) is a microorganism from the Streptococcus family, rarely involved in infective endocarditis. Here, we present a case of Gemella haemolysans endocarditis in an 86-year-old patient, successfully treated by antibiotics and surgery following a pre-treatment comprehensive geriatric assessment (CGA). This case is discussed in the context of a review of all published cases of Gemella haemolysans endocarditis. We illustrate the benefit of a systematic pre-treatment comprehensive geriatric assessment in elderly patients with infective endocarditis.

Keywords: Gemella haemolysans; comprehensive geriatric assessment; elderly; infective endocarditis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use
  • Endocarditis, Bacterial / drug therapy*
  • Female
  • France
  • Gemella / drug effects
  • Gemella / pathogenicity
  • Geriatric Assessment / methods*
  • Heart Valve Prosthesis Implantation / methods
  • Humans

Substances

  • Anti-Bacterial Agents