IRA S. GOLDMAN, M.D.; PAUL D. ELLNER, PH.D.; ELLIOTT L. FRANCKE, M.D.; GLENDA J. GARVEY, M.D.; HAROLD C. NEU, M.D.; NORDEEN SQUILLA, M.D.
To the editor: Attention has focused recently on a number of slow-growing, fastidious, gram-negative bacteria, all upper respiratory commensal flora, as causes of infective endocarditis (1): Cardiobacterium hominis, Haemophilus aphrophilus, and Actinobacillus actinomycetemcomitans, patients with underlying valvular heart disease presumably develop vegetations on their valves after bacteremia from an upper respiratory site. Due to the unusual growth characteristics of these organisms, isolation is difficult and the diagnosis may be missed. We haave seen a patient with endocarditis caused by Kingella denitrificans, another member of this group.
A 31-year-old man with aortic stenosis and insufficiency was admitted to Columbia-Presbyterian Medical Center
GOLDMAN IS, ELLNER PD, FRANCKE EL, GARVEY GJ, NEU HC, SQUILLA N. Infective Endocarditis Due to Kingella denitrificans. Ann Intern Med. ;93:152–153. doi: 10.7326/0003-4819-93-1-152_2
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Published: Ann Intern Med. 1980;93(1_Part_1):152-153.
Cardiology, Endocarditis, Infectious Disease.
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