Case Report

Native Pulmonic Valve Endocarditis due to Mycobacterium fortuitum: A Case Report and Literature Review

Table 1

Reported cases of native valve endocarditis caused by Mycobacterium fortuitum.

ReferenceAgeGenderValves affectedAssociated proceduresComorbiditiesOrganism isolated from other sourcesSurgical therapyAntibiotic therapySurvival

Our patient (2015)64FemalePulmonicNoneEnd-stage COPD, bioprosthetic MVR, mitral stenosisTracheal aspirate, PICCNoAmikacin, imipenem, clarithromycinNo

Vuković et al. [7]12FemaleTricuspidBovine patch VSD repairNoneNoNoNot reportedAlive at 12 months after diagnosis
2FemaleTricuspidBovine patch VSD repairDown syndromeNoNoNot reportedAlive at 12 months after diagnosis
0.5MaleTricuspidBovine patch VSD repairNoneVegetation, VSD patchVSD patch removal,
VSD repair
Not reportedAlive at 12 months after diagnosis

Natsag et al. [8]49FemaleAortic, tricuspidIVDUSkin abscesses, hepatitis CNoNoTMP/SMX, linezolid, ciprofloxacinAlive at 6 weeks after diagnosis

Collison and Trehan [9]
50MaleMitral, aorticPCI and stent placementCoronary artery disease, congestive heart failureNot reportedAVR, MVR, coronary artery bypass graftClarithromycin, imipenem, moxifloxacin, amikacinNo

Singh et al. [10]54FemaleAorticHemodialysisAortic stenosis, mitral regurgitation, ESRDNoNoTMP/SMX, ciprofloxacin, amikacin, clofazimineNo

Spell et al. [11]47MaleAorticIVDUHuman immunodeficiency virusNoAVR offered (patient declined)Amikacin, ciprofloxacin, cefoxitin No

Kuruvila et al. [12]20FemaleMitralBalloon mitral valvulotomyRheumatic heart diseaseCerebrospinal fluidNoAmikacin, azithromycin, rifampinNo

VSD: ventricular septal defect; PCI: percutaneous coronary intervention; IVDU: intravenous drug use; COPD: chronic obstructive pulmonary disease; ESRD: end-stage renal disease; PICC: peripherally inserted central catheter; MVR: mitral valve replacement.