Key result
A 48-year-old male with infective endocarditis due to Enterococcus faecium was successfully treated with culture-directed antibiotics and discharged.
Case Report (n=1)
This case highlights a rare presentation of infective endocarditis caused by Enterococcus faecium that was successfully treated with targeted antibiotics.
Supports culture-directed therapy in Enterococcus faecium endocarditis; leaves open need for larger studies before practice change.
A 48-year-old male, farmer by occupation with no prior comorbidities came with chief complaints of fever since 5 months, associated with loss of weight and loss of appetite. On general examination, pallor and clubbing were present. Blood pressures were 120/20 mmHg in both upper limbs and 200/60 mmHg in both lower limbs. Cardiovascular examination, on auscultation there was pansystolic murmur in mitral area radiating to axilla, holodiastolic murmur in aortic area. All routine blood investigations were done. Echocardiogram was suggestive of infective endocarditis of aortic valve with multiple thickened vegetations over aortic valve. Blood cultures grew Enterococcus faecium in two sets. The patient was treated with antibiotics according to culture sensitivity report. Patient improved clinically and was discharged.
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Babu et al. (2021) conducted a case report in Infective endocarditis due to Enterococcus faecium (n=1). Antibiotics according to culture sensitivity report was evaluated on Clinical improvement and discharge. A 48-year-old male with infective endocarditis due to Enterococcus faecium was successfully treated with culture-directed antibiotics and discharged.
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