2010
DOI: 10.1136/bcr.11.2009.2459
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Bordetella holmesii: a rare cause of bacterial endocarditis in a post-splenectomy patient

Abstract: We present a rare case of endocarditis in a 33-year-old woman with a splenectomy. The patient presented with meningeal symptoms and was diagnosed with endocarditis on the medical admissions unit using a portable echocardiography machine. Bordetella holmesii was cultured from the blood on admission and the patient underwent subsequent aortic valve replacement. We discuss the importance of echo skills within the specialty of acute medicine and the benefits of swift senior review at the front door. We emphasise t… Show more

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Cited by 8 publications
(5 citation statements)
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“…A work-up and treatment should therefore be considered when encountered. Finally, macrolides - antimicrobials used to treat B. pertussis infections - seem to have a lower activity against B. holmesii [12] . In vitro studies report that the most effective antibiotics against B. holmesii are fluoroquinolones and carbapenems which are rarely used to treat pertussis [2] , [13] – [14] .…”
Section: Introductionmentioning
confidence: 99%
“…A work-up and treatment should therefore be considered when encountered. Finally, macrolides - antimicrobials used to treat B. pertussis infections - seem to have a lower activity against B. holmesii [12] . In vitro studies report that the most effective antibiotics against B. holmesii are fluoroquinolones and carbapenems which are rarely used to treat pertussis [2] , [13] – [14] .…”
Section: Introductionmentioning
confidence: 99%
“…5,6 B holmesii is mainly seen in respiratory and bloodstream infections, with a few case reports of endocarditis, pericarditis, septic arthritis, and meningitis. 3,4 To our knowledge, this is the first case in the English-language literature to describe endogenous endophthalmitis secondary to B holmesii.…”
Section: Resultsmentioning
confidence: 80%
“… 1 , 2 Most studies to date involving this organism are described in respiratory and bloodstream infections, with several reports of endocarditis, pericarditis, septic arthritis, and meningitis. 1 , 3 The purpose of this study is to report the first case of endogenous endophthalmitis secondary to B holmesii in a patient with SCD.…”
Section: Introductionmentioning
confidence: 99%
“…Pneumonia, bacteremia with septic shock, cellulitis and suppurative arthritis have also been reported. 4 It is evident from the literature that B. holmesii has a predilection for asplenic patients and/or immunocompromised hosts of any age. Shepard et al 5 published Centers for Disease Control data for 26 cases of bacteremia with B. holmesii, of which 22 were asplenic.…”
Section: Discussionmentioning
confidence: 99%