Title:Bi-microbial Healthcare-Associate Endocarditis Caused by Enterococcus Faecalis and Burkholderia Cepacia: A Case Report and Literature Review
Volume: 1
Author(s): Masood A Ghori*, Nadya Al-Matrooshi, Samir Al-Jabbari, Ahmed Bafadel and Gopal Bhatnagar
Affiliation:
- Department of Cardiac Science, Sheikh Khalifa Medical City, Abu Dhabi,United Arab Emirates
Keywords:
Healthcare-Associated, Infective endocarditis, Dual pathogens, Burkholderia cepacia, Hemodialysis, Infection.
Abstract: 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.
