Rare Case of <i>Raoultella planticola</i> Infective Endocarditis after Mitral Valve Replacement Surgery

oleh: Diana Roxana Opriș, Victor Vacariu, Alexandru Petru Ion, Timea Szigyarto, Emil Marian Arbănași, Eliza Russu, Maria Mihaela Opriș

Format: Article
Diterbitkan: MDPI AG 2023-09-01

Deskripsi

Infective endocarditis remains a condition associated with high morbidity and mortality, regardless of advances in diagnosis and therapeutics. The etiology, microbiology, and epidemiology of infective endocarditis have changed in the last years, with healthcare-associated infective endocarditis being responsible for a myriad of cases. <i>Raoultella planticola</i> is rarely the cause of infective endocarditis. We present a 72-year-old Caucasian female with a history of mitral valve replacement for rheumatic valve disease two months before the current presentation, without any immunosuppressive pathologies, diagnosed with <i>Raoultella planticola</i> infective endocarditis. Long-drawn antibiotic treatment led to a full recovery with no evidence of recurrence or relapse. This report highlights the importance of a multimodal approach for the diagnosis of bacterial etiology, the importance of selection and duration of an appropriate antibiotic regimen, and the presence of a rare opportunistic bacteria that has proven pathogenicity in a wide range of organ systems, usually in patients with several risk factors.