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Vandana KE, Mukhopadhyay C, Rau NR, Ajith V, Rajath P. Native valve endocarditis and femoral embolism due to Granulicatella adiacens: a rare case report. Brazilian Journal of Infectious Diseases. 2010; 14(6): 634-636.

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Article

Infective Endocarditis and Meningitis Caused by Granulicatella elegans

1Clinical Microbiology Department, The Royal Hospital, CPHL, Central Public Health Laboratory


American Journal of Medical Case Reports. 2018, Vol. 6 No. 2, 41-42
DOI: 10.12691/ajmcr-6-2-9
Copyright © 2018 Science and Education Publishing

Cite this paper:
Nawal Al-Kindi, Jalila Mohsin, Azza Al-Rashdi. Infective Endocarditis and Meningitis Caused by Granulicatella elegans. American Journal of Medical Case Reports. 2018; 6(2):41-42. doi: 10.12691/ajmcr-6-2-9.

Correspondence to: Nawal  Al-Kindi, Clinical Microbiology Department, The Royal Hospital, CPHL, Central Public Health Laboratory. Email: nawalakindi@gmail.com

Abstract

Granullicatella elegans is a nutritionally variant streptococci (NVS) known to cause a board spectrum of infections including infective endocarditis(IE), pneumonitis, peritonitis, meningitis, urinary tract, genital tract and other infections. NVS does not grow on routine laboratory media and requires specific biochemical tests for identification. We report a case of Granullicatella elegans causing infective endocarditis and a rare complication of septic emboli to brain manifested as meningitis in a previously healthy patient with mild dental manipulation. The patient was managed with empiric antibiotics until final identification was made. The patient made a full recovery after 6 to 8 weeks of treatment with no complications. NVS including Granullicatella species is a well known cause of IE which could be missed and should be considered in the differential of culture negative IE. Molecular testing is very helpful in the definite diagnosis and identification of of NVS.

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