@article{ajmcr20175114,
author={{Subhi, Mahmoud Al and Yaqubi, Fatima Al and Hashami, Hilal Al},
title={Infective Endocarditis due to <i>Abiotrophia defectiva</i> presenting as Ankle Cellulitis},
journal={American Journal of Medical Case Reports},
volume={5},
number={11},
pages={279--281},
year={2017},
url={http://pubs.sciepub.com/ajmcr/5/11/4},
issn={2374-216X},
abstract={We report a case of infective endocarditis (IE) caused by <i>Abiotrophia defectiva</i> in an 8 year-old boy presented initially with left ankle cellulitis and fever. Blood culture showed Gram variable cocci which confirmed by Matrix-Assisted Laser Desorption Ionization Time Of Flight Mass Spectrophotometer (MALDI-TOF MS) as <i>Abiotrophia defectiva</i>. Vegetation seen at Mitral valve by transthoracic echocardiogram (TTE). He was diagnosed as Infective Endocarditis caused by <i>Abiotrophia defectiva</i> and was treated with intravenous gentamicin (6mg/kg/day) and ceftriaxone (100mg/kg/day) for six weeks. The patient had excellent outcome, vegetation was absent on repeated Echocardiography (ECHO), and the result showed no relapse after follow up. <i>Abiotrophia defectiva</i> should be considered as a cause of IE in patients with positive blood culture especially those caused by gram variable cocci.},
doi={10.12691/ajmcr-5-11-4}
publisher={Science and Education Publishing}
}