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Lactobacillus endocarditis

1986; Elsevier BV; Volume: 12; Issue: 2 Linguagem: Inglês

10.1016/s0163-4453(86)93733-3

1532-2742

A.J. Davies, P James, P M Hawkey,

Clostridium difficile and Clostridium perfringens research

Two cases of endocarditis due to Lactobacillus plantarum and Lactobacillus casei var. rhamnosus are described. Both patients were successfully treated medically. The response of the two isolates to a range of concentrations of penicillin in an apparatus which continuously monitored growth is reported. The strain of L. casei var. rhamnosus was found to be penicillin tolerant. The use of a combination of a penicillin with gentamicin to treat endocarditis due to penicillin tolerant strains of lactobacillus is discussed. The criteria for selecting oral agents to follow intravenous therapy are assessed also.