Key result
Triple valve surgery and ceftriaxone successfully treat Gemella morbillorum endocarditis in a bicuspid aortic valve patient.
Case Report (n=1)
No
This case highlights a rare presentation of Gemella morbillorum infective endocarditis in an undiagnosed bicuspid aortic valve, presenting initially as a stroke and requiring triple valve surgery.
Rare Gemella endocarditis case may inform individualized decisions; leaves open need for larger series on rare pathogens and bicuspid valves.
Valvular heart disease (VHD) occurs when there is a functional impairment in the valvular apparatus that either obstructs or regurgitates the backflow of blood. When a microorganism resides in those valves, it injures the leaflets and causes complications such as thromboembolic events. Infective endocarditis (IE), usually caused by the Staphylococci and Streptococcus group, is a disease that occurs on the heart valves. Antibiotic resistance is common; thus, culture and sensitivity testing should be done for a more targeted treatment approach. We herein present a rare case of Gemella morbillorum (G. morbillorum) vegetations found in a patient's heart that initially presented with cerebrovascular disease symptoms and underwent heart surgery in the end.
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Lim et al. (2023) conducted a case report in Gemella morbillorum infective endocarditis and valvular heart disease (n=1). Open-heart surgery (aortic and mitral valve replacement, tricuspid valve annuloplasty) and ceftriaxone was evaluated. A 40-year-old male with Gemella morbillorum infective endocarditis and an undiagnosed bicuspid aortic valve was successfully treated with triple valve heart surgery and ceftriaxone.
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