Volume 11, Number 7—July 2005
Dispatch
Veillonella montpellierensis Endocarditis
Clarisse Rovery*, Anne Etienne*, Cédric Foucault*, Pierre Berger*, and Philippe Brouqui*
Table
Summary of 7 reported patients with endocarditis due to Veillonella species*
| Veillonella species isolated | Age | Sex | Infected valve | Preexisting valvular disease | Echo vegetation | Specimen site | Duration of illness before diagnosis | Treatment | Outcome |
|---|---|---|---|---|---|---|---|---|---|
| V. alcalescens (6) | 51 | Male | Prosthetic mitral | Y | Y | Blood† | – | Penicillin G (6 wk IV); surgery | Cured |
| V. alcalescens (7) | 60 | Male | Native aortic | Benign heart murmur | N | Valve‡ | 6 mo | Cephapirin and gentamicin (2 wk); oral penicillin V for 6 mo; surgery | Cured |
| V. alcalescens (8) | 35 | Male | Native mitral | N | – | Blood | 7 mo | Sulfonamide, penicillin, heparin, and para-amino-hippurate (18 mo) | Cured |
| V. dispar (9) | 56 | Male | Prosthetic mitral | Y | Y | Blood | 2 wk | Penicillin (6 wk) | Cured |
| V. dispar (10) | 57 | Female | Prosthetic mitral | Y | Y | Blood† | 3 wk | Ampicillin (2 wk IV) and metronidazole (2 wk oral); oral clindamycin; surgery | Cured |
| V. parvula (11) | 49 | Male | Prosthetic mitral | Y | N | Valve‡ | 36 h | Metronidazole; surgery | Cured |
| V. montpellierensis (present work) | Native mitral and aortic | Y | Y | Blood | 6 d | Ampicillin (6 wk) and gentamicin (3 wk) | Unknown |
*Y, yes; N, no; echo, echocardiography.
†Negative culture of valve specimens.
‡Negative culture of blood specimens.
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