Endocarditis caused by Actinobacillus actinomycetemcomitans.

J Clin Microbiol. 1984 September; 20(3): 579–581.

PMCID: PMC271376

S H Schack, P W Smith, R G Penn, and J M Rapoport

This article has been cited by other articles in PMC.

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.

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Selected References

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Affias, S; West, A; Stewart, JW; Haldane, EV. Actinobacillus actinomycetemcomitans endocarditis. Can Med Assoc J. 1978 May 20;118(10):1256–1260. [PubMed]
Anolik, R; Berkowitz, RJ; Campos, JM; Friedman, AD. Actinobacillus endocarditis associated with periodontal disease. Clin Pediatr (Phila). 1981 Oct;20(10):653–655. [PubMed]
Blair, TP; Seibel, J, Jr; Oldfield, E; Berg, SW; Karney, W; Baker, WP. Endocarditis caused by Actinobacillus actinomycetemcomitans. South Med J. 1982 May;75(5):559–561. [PubMed]
Block, PJ; Yoran, C; Fox, AC; Kaltman, AJ. Actinobacillus actinomycetemcomitans endocarditis: report of a case and review of the literature. Am J Med Sci. 1973 Nov;266(5):387–392. [PubMed]
Ellner, JJ; Rosenthal, MS; Lerner, PI; McHenry, MC. Infective endocarditis caused by slow-growing, fastidious, Gram-negative bacteria. Medicine (Baltimore). 1979 Mar;58(2):145–158. [PubMed]
Geraci, JE; Wilson, WR; Washington, JA., 2nd Infective endocarditis caused by Actinobacillus actinomycetemcomitans: report of four cases. Mayo Clin Proc. 1980 Jul;55(7):415–419. [PubMed]
Goss, JE; Gutin, RS; Dickhaus, DW. Bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Am J Med. 1967 Oct;43(4):636–638. [PubMed]
Hofstad, T; Stallemo, A. Subacute bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Scand J Infect Dis. 1981;13(1):78–79. [PubMed]
Kayser, FH; Bircher, J. Bakterielle Endokarditis durch einen Actinobacillus. Dtsch Med Wochenschr. 1967 Jan 6;92(1):21–23. [PubMed]
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. [PubMed]
Macklon, AF; Ingham, HR; Selkon, JB; Evans, JG. Endocarditis due to Actinobacillus actinomycetemcomitans. Br Med J. 1975 Mar 15;1(5958):609–610. [PubMed]
Meyers, BR; Bottone, E; Hirschman, SZ; Schneierson, SS; Gershengorn, K. Infection due to Actinobacillus actinomycetemcomitans. Am J Clin Pathol. 1971 Aug;56(2):204–211. [PubMed]
MITCHELL, RG; GILLESPIE, WA. BACTERIAL ENDOCARDITIS DUE TO AN ACTINOBACILLUS. J Clin Pathol. 1964 Sep;17:511–512. [PubMed]
Moorthy, K; Prakash, R; Aronow, WS. Echocardiographic appearance of aortic valve vegetations in bacterial endocarditis due to Actinobacillus actinomycetemcomitans. J Clin Ultrasound. 1977 Feb;5(1):49–51. [PubMed]
Overholt, BF. Actinobacillus actinomycetemcomitans endocarditis. Arch Intern Med. 1966 Jan;117(1):99–102. [PubMed]
Panwalker, AP; Akalin, HE; Zimelis, V; Jackson, GG. Actinobacillus actinomycetemcomitans endocarditis in a patient with a prosthetic aortic valve. Infection. 1977;5(2):104–106. [PubMed]
Reider, J; Wheat, J. Endocarditis caused by Actinobacillus actinomycetemcomitans. South Med J. 1979 Sep;72(9):1219–1220. [PubMed]
Serra, P; Tonato, M. Subacute bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Am J Med. 1969 Nov;47(5):809–812. [PubMed]
Shah, GM; Winer, RL. Glomerulonephritis associated with endocarditis caused by Actinobacillus actinomycetemcomitans. Am J Kidney Dis. 1981 Sep;1(2):113–115. [PubMed]
Stauffer, JL; Goldman, MJ. Bacterial endocarditis due to actinobacillus actinomycetemcomitans in a patient with a prosthetic aortic valve. Calif Med. 1972 Aug;117(2):59–63. [PubMed]
Symbas, PN; Schlant, RC; Hatcher, CR, 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]
Thomas, JR. Actinobacillus actinomycetemcomitans endocarditis in a patient with bicuspid aortic valve and coarctation of the aorta. South Med J. 1967 Jul;60(7):783–784. [PubMed]
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. [PubMed]
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. [PubMed]
Vogelzang, RM. Bacterial endocarditis due to Actinobacillus actinomycetemcomitans. Arch Intern Med. 1967 Jul;120(1):99–101. [PubMed]
Underhill, E. Endocarditis due to Actinobacillus actinomycetemcomitans. Can J Med Technol. 1968 Jun;30(3):125–127. [PubMed]