ISSN 2373-3586

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Welcome to the Medical Science Case Reports

Medical Science Case Reports (MSCR) developed as an independent title journal in 2014 from the case reports section of Medical Science Monitor.

Aim of the Journal
MSCR is an Open Access, peer-reviewed online journal, which aims at contributions advancing health professional education and coverage of original case reports from all medical specialties. MSCR will expand medical knowledge and thus... read more


Published: 2017-05-22

Management of Infective Endocarditis by Extended-Spectrum β-Lactamase (ESBL)-Producing Enterobacter Cloacae

Marcelo Cruzalegui, Sebastián Shu, Juan Ruiz, Michèle Panduro, Félix Medina-Palomino

(Alberto Hurtado Department of Medicine, Peruana Cayetano Heredia University, Lima, Peru)

Med Sci Case Rep 2017; 4:45-49

DOI: 10.12659/MSCR.903163


BACKGROUND: Gram-negative bacteria are rarely the cause of infective endocarditis, especially in patients without cardiovascular risk factors. To our knowledge, only 30 cases due to Enterobacter cloacae have been reported in the literature and 1 was suspected of producing extended-spectrum β-lactamases.
CASE REPORT: We present a patient with extended-spectrum β-lactamase-producing Enterobacter cloacae infective endocarditis. The patient underwent surgery to replace the affected valve, is being treated with meropenem and amikacin, and currently has a favorable course.
CONCLUSIONS: We review past cases and discuss the need for surgical intervention and dual antibiotic therapy according to current guidelines and evidence.

Keywords: Endocarditis, Enterobacter cloacae, Gram-Negative Bacteria



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