Abstract
An 11-month-old girl with congenital heart disease developed infective endocarditis. Blood cultures revealed an unusual gram-negative rod, Rahnella aquatilis. The patient was successfully treated with a combination of netilmicin and ceftazidime. This is the first case report of infective endocarditis caused by this organism. R. aquatilis should be recognized as a clinical pathogen capable of causing life-threatening infection in children and adults.
MeSH terms
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Adult
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Drug Therapy, Combination / pharmacology
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Drug Therapy, Combination / therapeutic use
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Echocardiography
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Endocarditis, Bacterial / diagnostic imaging
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / microbiology*
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Enterobacteriaceae / drug effects
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Enterobacteriaceae / isolation & purification*
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Enterobacteriaceae Infections / diagnostic imaging
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Enterobacteriaceae Infections / drug therapy*
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Enterobacteriaceae Infections / microbiology*
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Female
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Heart Septal Defects, Atrial / complications*
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Heart Septal Defects, Atrial / diagnostic imaging
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Humans
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Infant
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Josamycin / therapeutic use
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Microbial Sensitivity Tests
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Piperacillin / therapeutic use
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Pulmonary Valve Stenosis / complications*
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Pulmonary Valve Stenosis / diagnostic imaging