Skip to main content
PMC home page
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1984 Sep;20(3):579–581. doi: 10.1128/jcm.20.3.579-581.1984

Endocarditis caused by Actinobacillus actinomycetemcomitans.

S H Schack, P W Smith, R G Penn, J M Rapoport
PMCID: PMC271376  PMID: 6490839

Abstract

Actinobacillus actinomycetemcomitans is a gram-negative coccobacillus which is a very rare cause of bacterial endocarditis. Preexisting cardiac lesions are a main contributing factor, and antibiotic prophylaxis has long been felt necessary before dental or other manipulation to prevent endocarditis. Penicillin in combination with an aminoglycoside has been the most often used treatment regimen. We present a case of endocarditis caused by this organism which developed after antibiotic prophylaxis for dental cleaning. Streptomycin and rifampin therapy resulted in the cure of the infection. The treatment and epidemiology of Actinobacillus endocarditis are reviewed.

Full text

PDF
580

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Affias S., West A., Stewart J. W., Haldane E. V. Actinobacillus actinomycetemcomitans endocarditis. Can Med Assoc J. 1978 May 20;118(10):1256–1260. [PMC free article] [PubMed] [Google Scholar]
  2. Anolik R., Berkowitz R. J., Campos J. M., Friedman A. D. Actinobacillus endocarditis associated with periodontal disease. Clin Pediatr (Phila) 1981 Oct;20(10):653–655. doi: 10.1177/000992288102001007. [DOI] [PubMed] [Google Scholar]
  3. Blair T. P., Seibel J., Jr, Oldfield E., Berg S. W., Karney W., Baker W. P. Endocarditis caused by Actinobacillus actinomycetemcomitans. South Med J. 1982 May;75(5):559–561. doi: 10.1097/00007611-198205000-00013. [DOI] [PubMed] [Google Scholar]
  4. Block P. J., Yoran C., Fox A. C., Kaltman A. J. Actinobacillus actinomycetemcomitans endocarditis: report of a case and review of the literature. Am J Med Sci. 1973 Nov;266(5):387–392. doi: 10.1097/00000441-197311000-00006. [DOI] [PubMed] [Google Scholar]
  5. Ellner J. J., Rosenthal M. S., Lerner P. I., McHenry M. C. Infective endocarditis caused by slow-growing, fastidious, Gram-negative bacteria. Medicine (Baltimore) 1979 Mar;58(2):145–158. doi: 10.1097/00005792-197903000-00003. [DOI] [PubMed] [Google Scholar]
  6. Geraci J. E., Wilson W. R., Washington J. A., 2nd Infective endocarditis caused by Actinobacillus actinomycetemcomitans: report of four cases. Mayo Clin Proc. 1980 Jul;55(7):415–419. [PubMed] [Google Scholar]
  7. Goss J. E., Gutin R. S., Dickhaus D. W. Bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Am J Med. 1967 Oct;43(4):636–638. doi: 10.1016/0002-9343(67)90186-6. [DOI] [PubMed] [Google Scholar]
  8. Hofstad T., Stallemo A. Subacute bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Scand J Infect Dis. 1981;13(1):78–79. doi: 10.1080/00365548.1981.11690372. [DOI] [PubMed] [Google Scholar]
  9. Kayser F. H., Bircher J. Bakterielle Endokarditis durch einen Actinobacillus. Dtsch Med Wochenschr. 1967 Jan 6;92(1):21–23. doi: 10.1055/s-0028-1103049. [DOI] [PubMed] [Google Scholar]
  10. Lalonde G., Hand R. Infective endocarditis due to Actinobacillus actinomycetemcomitans in a patient with a porcine prosthetic mitral valve. Can Med Assoc J. 1980 Feb 9;122(3):316–319. [PMC free article] [PubMed] [Google Scholar]
  11. MITCHELL R. G., GILLESPIE W. A. BACTERIAL ENDOCARDITIS DUE TO AN ACTINOBACILLUS. J Clin Pathol. 1964 Sep;17:511–512. doi: 10.1136/jcp.17.5.511. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Macklon A. F., Ingham H. R., Selkon J. B., Evans J. G. Endocarditis due to Actinobacillus actinomycetemcomitans. Br Med J. 1975 Mar 15;1(5958):609–610. doi: 10.1136/bmj.1.5958.609. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Meyers B. R., Bottone E., Hirschman S. Z., Schneierson S. S., Gershengorn K. Infection due to Actinobacillus actinomycetemcomitans. Am J Clin Pathol. 1971 Aug;56(2):204–211. doi: 10.1093/ajcp/56.2.204. [DOI] [PubMed] [Google Scholar]
  14. Moorthy K., Prakash R., Aronow W. S. Echocardiographic appearance of aortic valve vegetations in bacterial endocarditis due to Actinobacillus actinomycetemcomitans. J Clin Ultrasound. 1977 Feb;5(1):49–51. doi: 10.1002/jcu.1870050112. [DOI] [PubMed] [Google Scholar]
  15. Overholt B. F. Actinobacillus actinomycetemcomitans endocarditis. Arch Intern Med. 1966 Jan;117(1):99–102. [PubMed] [Google Scholar]
  16. Panwalker A. P., Akalin H. E., Zimelis V., Jackson G. G. Actinobacillus actinomycetemcomitans endocarditis in a patient with a prosthetic aortic valve. Infection. 1977;5(2):104–106. doi: 10.1007/BF01642090. [DOI] [PubMed] [Google Scholar]
  17. Reider J., Wheat J. Endocarditis caused by Actinobacillus actinomycetemcomitans. South Med J. 1979 Sep;72(9):1219–1220. doi: 10.1097/00007611-197909000-00043. [DOI] [PubMed] [Google Scholar]
  18. Serra P., Tonato M. Subacute bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Am J Med. 1969 Nov;47(5):809–812. doi: 10.1016/0002-9343(69)90174-0. [DOI] [PubMed] [Google Scholar]
  19. Shah G. M., Winer R. L. Glomerulonephritis associated with endocarditis caused by Actinobacillus actinomycetemcomitans. Am J Kidney Dis. 1981 Sep;1(2):113–115. doi: 10.1016/s0272-6386(81)80039-x. [DOI] [PubMed] [Google Scholar]
  20. Stauffer J. L., Goldman M. J. Bacterial endocarditis due to actinobacillus actinomycetemcomitans in a patient with a prosthetic aortic valve. Calif Med. 1972 Aug;117(2):59–63. [PMC free article] [PubMed] [Google Scholar]
  21. Symbas P. N., Schlant R. C., Hatcher C. R., Jr, Lindsay J. Congenital fistula of right coronary artery to right ventricle complicated by Actinobacillus actinomycetemcomitans endarteritis. J Thorac Cardiovasc Surg. 1967 Mar;53(3):379–384. [PubMed] [Google Scholar]
  22. Thomas J. R. Actinobacillus actinomycetemcomitans endocarditis in a patient with bicuspid aortic valve and coarctation of the aorta. South Med J. 1967 Jul;60(7):783–784. doi: 10.1097/00007611-196707000-00024. [DOI] [PubMed] [Google Scholar]
  23. Underhill E. Endocarditis due to Actinobacillus actinomycetemcomitans. Can J Med Technol. 1968 Jun;30(3):125–127. [PubMed] [Google Scholar]
  24. Vandepitte J., De Geest H., Jousten P. Subacute bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Report of a case with a review of the literature. J Clin Pathol. 1977 Sep;30(9):842–846. doi: 10.1136/jcp.30.9.842. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Vandepitte J., Decraene P., Kesteloot H., Maris J., Eyckmans L. Bacterial endocarditis caused by Actinobacillus actinomycetemcomitans. Report of a case. Acta Clin Belg. 1970;25(2):109–115. doi: 10.1080/17843286.1970.11716743. [DOI] [PubMed] [Google Scholar]
  26. Vogelzang R. M. Bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Arch Intern Med. 1967 Jul;120(1):99–101. [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES