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Case Reports in Infectious Diseases
Volume 2017, Article ID 4896186, 3 pages
https://doi.org/10.1155/2017/4896186
Case Report

Native Valve Endocarditis due to Veillonella Species: A Case Report and Review of the Literature

Department of Medicine, Bronx Lebanon Hospital Center, Bronx, NY 10457, USA

Correspondence should be addressed to Manisha Singh; gro.belxnorb@1hgnism

Received 23 January 2017; Revised 5 April 2017; Accepted 20 April 2017; Published 14 May 2017

Academic Editor: Jean-François Faucher

Copyright © 2017 Lakshmi Saladi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Veillonella species are fastidious bacteria that have been isolated from skin, dental, and respiratory tract infections and rarely have been implicated in serious infections like meningitis, endocarditis, and osteomyelitis. A 76-year-old woman presented to our hospital with fever, vomiting, and generalized weakness for 3 days. A transthoracic echocardiogram showed a mobile structure on anterior mitral valve leaflet measuring 0.9 cm suggestive of vegetation. Empiric therapy with vancomycin and piperacillin-tazobactam was started with clinical resolution of her symptoms. On day 6, the blood culture drawn at admission grew Veillonella species. A transesophageal echocardiogram confirmed a 1.2 0.4 cm echo dense structure attached to the left ventricular side of the anterior mitral leaflet. The patient was discharged home after 10 days of inpatient antibiotic therapy and completed 4 weeks of IV ceftriaxone at home without any adverse events. She was reevaluated in the clinic after completion of treatment and repeat blood cultures remained negative. We report the first case of successful treatment of endocarditis due to Veillonella species with once daily ceftriaxone.