Infective endocarditis caused by Escherichia coli of a native mitral valve

Abstract

Escherichia coli is a rare cause of infectious endocarditis. We report a clinical case of E. coli endocarditis of a native mitral valve in a young 26-year-old woman with a recurrent urinary tract infection who had a high fever for one week despite probabilistic treatment with amoxcillin-clavulanic acid 3 g per day. The patient was successfully treated with antibiotics and recovered without surgery.

Infective endocarditis with <em>Escherichia coli</em> secondary to urosepsis: a case report

“…coli is a rare cause of infective endocarditis with few reported cases in the literature (3,(8)(9)(10). Most were elderly females, with concurrent urinary tract infections which suggested the urinary tract is the portal of entry for the organism (8,9,11). In general a favourable outcome is seen after long-term conventional antibiotic therapy (8).…”

“…Most were elderly females, with concurrent urinary tract infections which suggested the urinary tract is the portal of entry for the organism (8,9,11). In general a favourable outcome is seen after long-term conventional antibiotic therapy (8). A few required prosthetic tissue valve replacements due to complications such as congestive cardiac failure and valvular defects (9,12).…”