Endocarditis caused by Leuconostoc lactis in an infant. Case report

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Main Author: Edgar Alberto Sarmiento-Ortiz
Format: Artículo científico
Language:en
Published: Universidad Nacional de Colombia 2020
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author Edgar Alberto Sarmiento-Ortiz
author_facet Edgar Alberto Sarmiento-Ortiz
contents Endocarditis caused by Leuconostoc lactis in an infant. Case report Edgar Alberto Sarmiento-Ortiz Oskar Andrey Oliveros-Andrade Juan Pablo Rojas-Hernández Medicina Infant Endocarditis Leuconostoc (MeSH) Introduction: Infections caused by Leuconostoc lactis are rare and are associated with multiple risk factors. According to the literature reviewed, there are no reported cases of endocarditis caused by this microorganism in the pediatric population. Case presentation: An infant with short bowel syndrome was taken by his parents to the emergency department due to malnutrition. During his prolonged hospital stay, he presented multiple infections, so he required central venous catheter, prolonged enteral tube feeding and parenteral nutrition. In one of his nosocomial infection episodes, peripheral blood cultures were taken, and an echocardiogram was performed, achieving the diagnosis of endocarditis by L. lactis, which was treated with linezolid. After 21 days of treatment, the infectious process was controlled; however, in order to improve his condition and due to another bacteremia episode, he remained hospitalized. Finally, after 113 days, the patient was discharged, and comprehensive outpatient care was ordered.Conclusion: Although rare in the pediatric population, endocarditis by L. lactis should be suspected in patients with multiple risk factors and polymicrobial infections. Timely and specific treatment, as in the reported case, can help avoid future complications. 2020 otro 2357-3848 https://www.redalyc.org/articulo.oa?id=576366603019 https://www.redalyc.org/journal/5763/576366603019/ https://www.redalyc.org/journal/5763/576366603019/html/ https://www.redalyc.org/journal/5763/576366603019/576366603019.epub https://www.redalyc.org/journal/5763/576366603019/movil 10.15446/revfacmed.v68n3.77425 en http://www.redalyc.org/revista.oa?id=5763 Revista de la Facultad de Medicina application/pdf Universidad Nacional de Colombia Revista de la Facultad de Medicina (Colombia) Num.3 Vol.68
format Artículo científico
id redalyc_576366603019
institution Redalyc
language en
publishDate 2020
publisher Universidad Nacional de Colombia
spellingShingle Endocarditis caused by Leuconostoc lactis in an infant. Case report
Edgar Alberto Sarmiento-Ortiz
Medicina
Infant
Endocarditis
Leuconostoc (MeSH)
Endocarditis caused by Leuconostoc lactis in an infant. Case report Edgar Alberto Sarmiento-Ortiz Oskar Andrey Oliveros-Andrade Juan Pablo Rojas-Hernández Medicina Infant Endocarditis Leuconostoc (MeSH) Introduction: Infections caused by Leuconostoc lactis are rare and are associated with multiple risk factors. According to the literature reviewed, there are no reported cases of endocarditis caused by this microorganism in the pediatric population. Case presentation: An infant with short bowel syndrome was taken by his parents to the emergency department due to malnutrition. During his prolonged hospital stay, he presented multiple infections, so he required central venous catheter, prolonged enteral tube feeding and parenteral nutrition. In one of his nosocomial infection episodes, peripheral blood cultures were taken, and an echocardiogram was performed, achieving the diagnosis of endocarditis by L. lactis, which was treated with linezolid. After 21 days of treatment, the infectious process was controlled; however, in order to improve his condition and due to another bacteremia episode, he remained hospitalized. Finally, after 113 days, the patient was discharged, and comprehensive outpatient care was ordered.Conclusion: Although rare in the pediatric population, endocarditis by L. lactis should be suspected in patients with multiple risk factors and polymicrobial infections. Timely and specific treatment, as in the reported case, can help avoid future complications. 2020 otro 2357-3848 https://www.redalyc.org/articulo.oa?id=576366603019 https://www.redalyc.org/journal/5763/576366603019/ https://www.redalyc.org/journal/5763/576366603019/html/ https://www.redalyc.org/journal/5763/576366603019/576366603019.epub https://www.redalyc.org/journal/5763/576366603019/movil 10.15446/revfacmed.v68n3.77425 en http://www.redalyc.org/revista.oa?id=5763 Revista de la Facultad de Medicina application/pdf Universidad Nacional de Colombia Revista de la Facultad de Medicina (Colombia) Num.3 Vol.68
title Endocarditis caused by Leuconostoc lactis in an infant. Case report
topic Medicina
Infant
Endocarditis
Leuconostoc (MeSH)
url https://www.redalyc.org/articulo.oa?id=576366603019
https://www.redalyc.org/journal/5763/576366603019/
https://www.redalyc.org/journal/5763/576366603019/html/
https://www.redalyc.org/journal/5763/576366603019/576366603019.epub
https://www.redalyc.org/journal/5763/576366603019/movil