Bacillus cereus Endocarditis Involving a Prosthetic Valve

Ha, Oster; Tq, Kong

doi:10.1097/00007611-198204000-00044

Cited by 26 publications

(10 citation statements)

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“…In a review of B. cereus by Steen et al (123), they noted that the rates of morbidity and mortality associated with B. cereus endocarditis were high among patients with valvular heart disease (20,29,105,121). In the course of their review, those authors noted that 10 cases of endocarditis had been previously reported: 6 were drug addicts (including that reported by Craig et al), 1 had a pacemaker, and the remaining cases had valvular disease.…”

Section: Endocarditismentioning

confidence: 99%

Bacillus cereus , a Volatile Human Pathogen

2010

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SUMMARY Bacillus cereus is a Gram-positive aerobic or facultatively anaerobic, motile, spore-forming, rod-shaped bacterium that is widely distributed environmentally. While B. cereus is associated mainly with food poisoning, it is being increasingly reported to be a cause of serious and potentially fatal non-gastrointestinal-tract infections. The pathogenicity of B. cereus, whether intestinal or nonintestinal, is intimately associated with the production of tissue-destructive exoenzymes. Among these secreted toxins are four hemolysins, three distinct phospholipases, an emesis-inducing toxin, and proteases. The major hurdle in evaluating B. cereus when isolated from a clinical specimen is overcoming its stigma as an insignificant contaminant. Outside its notoriety in association with food poisoning and severe eye infections, this bacterium has been incriminated in a multitude of other clinical conditions such as anthrax-like progressive pneumonia, fulminant sepsis, and devastating central nervous system infections, particularly in immunosuppressed individuals, intravenous drug abusers, and neonates. Its role in nosocomial acquired bacteremia and wound infections in postsurgical patients has also been well defined, especially when intravascular devices such as catheters are inserted. Primary cutaneous infections mimicking clostridial gas gangrene induced subsequent to trauma have also been well documented. B. cereus produces a potent β-lactamase conferring marked resistance to β-lactam antibiotics. Antimicrobials noted to be effective in the empirical management of a B. cereus infection while awaiting antimicrobial susceptibility results for the isolate include ciprofloxacin and vancomycin.

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Section: Endocarditismentioning

confidence: 99%

Bacillus cereus , a Volatile Human Pathogen

2010

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“…Some cases of bacteraemia and septicaemia followed accidental trauma from road-traffic, industrial and domestic accidents or from burns; others were associated with drug addiction (see Borchardt et al, 1982). Of nine cases of endocarditis, six occurred in drug addicts (Siegman-Igra et al, 1983) and three were associated with heartvalve replacements (Oster and Kong, 1982;Parry et al, 1983). Despite the seriousness of these systemic infections, and the debilitated state of many of the patients, the prognoses were good and all but two, one of whom was immunocompromised by chemotherapy for leukaemia, recovered.…”

Section: Infections With B Cereusmentioning

confidence: 99%

Bacillus species of medical and veterinary importance

Logan

1988

Journal of Medical Microbiology

100

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“…Most cases of Bacillus spp. endocarditis have involved native valves, but rare cases of prosthetic valve endocarditis have been reported, with B. cereus, B. circulans and B. licheniformis [12][13][14][15][16][17]. Notably, complete recovery was achieved after valve replacement surgery, while medical management in one case resulted in patient death [15].…”

Section: Discussionmentioning

confidence: 99%

Conservative Management of Implantable Cardioverter Defibrillator-Related Endocarditis Due to Bacillus spp.

et al. 2007

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Endocarditis is a devastating complication of implantable cardioverter-defibrillator (ICD) therapy. Partial or complete device removal has been advocated for the treatment of this condition although controlled data are lacking. We present a case of ICD-related endocarditis caused by Bacillus spp. that occurred following coronary angiography. To the best of our knowledge, Bacillus spp. has not been previously described in such context. Moreover, conservative treatment with device retention was successful (no recurrence during a 6-year follow-up). Conservative management may be attempted in selected cases of ICD-related endocarditis, especially, those involving low-virulence organisms and rapid response to antibiotic therapy. This case also suggests that coronary angiography may be associated with transient bacteremia and subsequent infection of indwelling cardiac devices.

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Bacillus cereus Endocarditis Involving a Prosthetic Valve

Cited by 26 publications

References 0 publications

Bacillus cereus , a Volatile Human Pathogen

Bacillus cereus , a Volatile Human Pathogen

Bacillus species of medical and veterinary importance

Conservative Management of Implantable Cardioverter Defibrillator-Related Endocarditis Due to Bacillus spp.

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