A case of recurrent Corynebacterium jeikeium endocarditis: Unanswered questions for the treatment of chronic endovascular infections

A 53-year-old woman with end-stage renal impairment on hemodialysis was evaluated for recurrent episodes of Corynebacterium jeikeium bacteremia and endocarditis. Her recurrences occurred despite surgical debridement and extended courses of culture-directed antimicrobial therapy. The clinical course...

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Bibliographic Details
Main Authors: John-Ross D. Clarke, Manal Abdur Rahman, Zane Saul
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:IDCases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250919301404
Description
Summary:A 53-year-old woman with end-stage renal impairment on hemodialysis was evaluated for recurrent episodes of Corynebacterium jeikeium bacteremia and endocarditis. Her recurrences occurred despite surgical debridement and extended courses of culture-directed antimicrobial therapy. The clinical course was complicated by the requirement of various endovascular prostheses for vascular access. To our knowledge this degree of relapse with guideline medical and surgical therapy is rare and challenges current practice and understanding of this group of infection. Keywords: Corynebacterium jeikeium endocarditis, Infective endocarditis, Recurrent endovascular infection
ISSN:2214-2509