M-6 endocarditis: report of an australian case

Endocarditis Due toNeisseria elongataSubspeciesnitroreducens: Case Report and Review

“…Only two patients had chiae but no Roth's spots, splinter hemorrhages, Janeway's lesions, or Osler's nodes. Cardiac auscultation revealed a mechanical click undergone preceding dental surgery, one 5 months before admission [4] and the other 6 months before admission [6]; neither had without murmur. The lungs were clear, and the neurological examination was unremarkable.…”

Septicaemia with Neisseria elongata ssp. Nitroreducens in a Patient with Hypertrophic Obstructive Cardiomyopathia

“…A few other cases of endocarditis caused by Neisseria elongata ssp. nitroreducens have been reported more recently (10)(11)(12)(13).…”

Neisseria elongataendocarditis of a native aortic valve

“…According to the European Society of Cardiology guidelines, a transoesophageal echocardiogram should be a part of the initial assessment of these patients in order to provide a thorough surgical evaluation and to assess the extent of infection, size of vegetation and any valvular dysfunction 27. In addition, it is evident that the aortic and mitral valves are the most common valves affected by N. elongata with 11 cases documenting involvement of the mitral valve2–4 7 17 19 21–24 and 10 cases of the aortic valve 8 11 12 16 18 20 24–26. On the basis of the aggressive nature of this organism, we suggest that clinicians should consider extended antibiotic treatment and early surgical evaluation.…”