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Vol. 14. Issue 6.
Pages 634-636 (November - December 2010)
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Vol. 14. Issue 6.
Pages 634-636 (November - December 2010)
Case report
Open Access
Native valve endocarditis and femoral embolism due to Granulicatella adiacens: a rare case report
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K.E. Vandana1,
Corresponding author
vandanake@gmail.com

Correspondence to: Associate Professor, Dept of Microbiology, Kasturba Medical College, Manipal, Manipal University Karnataka, India-576104.
, C. Mukhopadhyay2, N.R. Rau3, V. Ajith4, P. Rajath5
1 Associate Professor, Department of Microbiology, Kasturba Medical College, Manipal University, Manipal, India
2 Professor, Department of Microbiology, Kasturba Medical College, Manipal University, Manipal, India
3 Professor and Unit Head, Department of Medicine, Kasturba Medical College, Manipal University, Manipal, India
4 Post Graduate Student(MD), Department of Microbiology, Kasturba Medical College, Manipal University, Manipal, India
5 Post Graduate Student(MSc),- Department of Microbiology, Kasturba Medical College, Manipal University, Manipal, India
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Abstract

The fastidious Gram-positive cocci Granulicatella adiacens, previously known as nutritionally variant streptococci (NVS) are unusual but significant cause of endocarditis due to increased mortality and morbidity. Difficulties in reaching correct bacteriological identification, increased resistance to beta-lactam antibiotics and macrolides and complicated clinical course have contributed to problems in management of cases of infective endocarditis caused by this bacterium. We present the first Indian case of endocarditis with arterial embolus by G. adiacens in an elderly male with no pre-existing cardiac abnormality.

Keywords:
endocarditis
Granulicatella adiacens
femoral embolism
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