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New Emirates Medical Journal


ISSN (Print): -
ISSN (Online): 0250-6882

Case Report

Bi-microbial Healthcare-Associate Endocarditis Caused by Enterococcus Faecalis and Burkholderia Cepacia: A Case Report and Literature Review

Author(s): Masood A Ghori*, Nadya Al-Matrooshi, Samir Al-Jabbari, Ahmed Bafadel and Gopal Bhatnagar

Volume 1 , Issue 2 , 2020

Page: [61 - 65] Pages: 5

DOI: 10.2174/025068XX02666200227171615

open access plus


Infective Endocarditis (IE), a known complication of hemodialysis (HD), has recently been categorized as Healthcare-Associated Infective Endocarditis (HAIE). Single pathogen bacteremia is common, polymicrobial endocardial infection is rare in this cohort of the patients. We report a case of endocarditis caused by Enterococcus faecalis (E. faecalis) and Burkholderia cepacia (B. cepacia), a first-ever reported combination of a usual and an unusual organism, respectively, in a patient on HD. Clinical presentation of the patient, its complicated course, medical and surgical management, along with microbial and echocardiographic findings are presented herein. The authors believe that the presentation of this case of HAIE may benefit and contribute positively to cardiac science owing to the rare encounter of this organism as a pathogen in infective endocarditis and the difficulties in treating it.

Keywords: Healthcare-Associated, Infective endocarditis, Dual pathogens, Burkholderia cepacia, Hemodialysis, Infection.

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