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J Med Microbiol 53 (2004), 451-453; DOI: 10.1099/jmm.0.05328-0
© 2004 Society for General Microbiology
ISSN 0022-2615

Case of aortic endocarditis caused by Lactobacillus casei

L. Zé-Zé1, R. Tenreiro1, A. Duarte2, M. J. Salgado3, J. Melo-Cristino3,4, L. Lito3, M. M. Carmo3, S. Felisberto5 and G. Carmo5

1Departamento de Biologia Vegetal e Centro de Genética e Biologia Molecular, Faculdade de Ciências, Universidade de Lisboa, Campo Grande, 1749-016 Lisboa, Portugal 2Departamento de Microbiologia, Faculdade de Farmácia, Universidade de Lisboa, 1649-019 Lisboa, Portugal 3,5Laboratório de Bacteriologia3 and Departamento de Doenças Infecto-Contagiosas5, Hospital de Santa Maria, 1649-035 Lisboa, Portugal 4Laboratório de Microbiologia, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, 1649-028 Lisboa, Portugal

Correspondence L. Zé-Zé lmze-ze{at}fc.ul.pt

Received May 29, 2003
Accepted January 9, 2004

A case of Lactobacillus aortic valve endocarditis in a 53-year-old immunocompetent patient with past history of rheumatic fever is reported. Clinical symptoms began after a dental extraction and the patient's diet included several yogurts per day. Blood, bone marrow cultures and the replaced aortic valve were positive for Lactobacillus. The clinical isolate was identified as Lactobacillus casei by 16S rDNA sequencing.

The GenBank accession number for the 16S rDNA sequence reported in this paper is AF526388.




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