Prosthetic Mitral Valve Endocarditis caused by Aggregatibacteractinomycetemcomitanscomplicated by an acute episode of hepatitis

Abstract

Introduction: We describe a case of subacute endocarditis of prosthetic mitral valve due to Aggregatibacteractinomycetemcomitansin a 48 year old Moroccan patient. Case Presentation: Blood cultures were positive for A. acinomycetemcomitans. Transesophageal echocardiography (TEE) showed small vegetation in prosthetic mitral valve. The patient responded well to initial ceftriaxone therapy but after 25 days developed acute episode of hepatitis. His antibiotic was changed to ciprofloxacin. Conclusions:We hypothesized ceftriaxone as a probable cause of acute hepatitis. However, during this episode, patient’s lab result showed positive reaction for Hepatitis E virus IgM. During the follow up of one and a half years in cardiac outpatient clinic, he had fully recovered without any recurrence.