Cardiogenic shock due to Gemella morbillorum native mitral valve endocarditis

Abstract

Key Clinical MessageGemella morbillorum is a rare cause of infective endocarditis. Consequently, little is known about the natural course of endocarditis secondary to this pathogen. Herein, we report a case of cardiogenic shock as a complication of acute mitral valve regurgitation following Gemella morbillorum native valve endocarditis.

Risk Factors and Patient Profile of Infective Endocarditis due to <i>Gemella spp.</i>

“…[ 21 , 27 , 44 , 63 ] The effects on the kidneys were discussed in four studies, [ 71 , 74 , 91 , 92 ] and four articles also reported concurrent implications of the heart, such as cardiogenic shock, STEMI, and hypertrophic cardiomyopathy. [ 47 , 50 , 70 , 86 ] Finally, three articles investigated the contribution of other infections within the body, such as septic arthritis, respiratory tract infection, and presence of anti-streptolysin-O antibodies. [ 26 , 31 , 45 ] Hemochromatosis [ 61 ] was the subject of one article, while systemic lupus erythematous was the topic the other.…”

“…were identified as shown in Table 1 . The most common species was Gemella morbillorum (44.6%) [ 14 , 16 – 19 , 23 , 24 , 27 , 28 , 30 , 31 , 35 , 37 , 38 , 42 , 43 , 47 , 49 – 53 , 56 , 58 , 63 , 64 , 70 , 74 – 76 , 80 , 81 , 84 , 90 , 91 ] followed by Gemella haemolysans (26.5%). [ 15 , 21 , 22 , 25 , 26 , 32 , 36 , 40 , 46 , 48 , 52 , 54 , 59 – 61 , 68 , 69 , 72 , 73 , 88 , 92 ] The predominant strains in studies published in Europe and North America were Gemella morbillorum [ 17 , 19 , 23 , 24 , 27 , 28 , 30 , 31 , 35 , 37 , 38 , 43 , 47 , 49 , 52 , 56 , 57 ...…”

“…Nearly three-quarter of studies involved male patients. [ 14 – 17 , 19 – 21 , 23 – 27 , 29 , 31 , 33 , 36 , 38 , 40 , 43 – 45 , 48 , 49 , 52 , 53 , 55 , 57 – 66 , 68 , 70 , 71 , 73 – 79 , 81 – 92 ]…”

“…The average temperature recorded at admission was 38.2 +/− 0.8°C ranging from 36.0°C to 40.4°C, [ 16 – 19 , 21 , 24 , 25 , 28 – 30 , 32 – 37 , 39 , 41 , 45 – 49 , 51 , 52 , 55 , 58 , 63 , 65 , 68 , 70 , 76 , 79 – 85 , 87 , 90 – 92 ] while the average heart rate and blood pressure was 103.0 +/− 21.5 bpm [ 15 – 17 , 21 , 28 , 30 , 32 – 34 , 36 , 39 , 41 , 43 – 45 , 47 – 49 , 51 – 53 , 55 , 57 , 59 , 62 , 65 , 67 , 68 , 76 , 79 – 84 , 86 , 87 , 90 , 92 ] and 120.6/67.9 +/− 25.3/17.0 mmHg [ 16 – 18 , 24 , 28 , 30 , 32 , 34 , 36 , 39 , 41 , 44 , …”

Intracranial subdural abscess with polymicrobial infections due to frontal sinusitis in an adolescent: life‐threatening complication of a common disease

“…Gemella morbillorum , a facultative anaerobic Gram‐positive coccus, is a part of the normal flora of the human oropharynx and gastrointestinal and female genital tracts . Although G. morbillorum is rarely isolated from human infections, it may cause severe localized and generalized infections such as endocarditis , liver abscess , pleural empyema , and brain abscess . Chotai et al reviewed eight previously reported cases of brain abscess caused by G. morbillorum along with their own case; they found that most of the cases (62.5%) were associated with odontogenic infections and previous history of dental procedures.…”