Abstract
Gemella are facultatively anaerobic Gram-positive cocci found in the oral cavity. Endocarditis from this organism is rare. We describe a case of late onset aorticprosthetic valve endocarditis with Gemella after dental surgery that was successfully medically managed with vancomycin and gentamicin.
Highlights
Gemella, a facultative anaerobic Gram-positive cocci normally found in the oral cavity, is a well-described but rare cause of subacute infective endocarditis
We describe a case of bioprosthetic aortic valve, late-onset endocarditis with Gemella that was treated with vancomycin and gentamicin initially, in a 59-yearold man who reported severe allergy to penicillin
At least 12 cases of prosthetic valve endocarditis have been reported in the literature [3,4,5,6,7,8,9]
Summary
A facultative anaerobic Gram-positive cocci normally found in the oral cavity, is a well-described but rare cause of subacute infective endocarditis. We describe a case of bioprosthetic aortic valve, late-onset endocarditis with Gemella that was treated with vancomycin and gentamicin initially, in a 59-yearold man who reported severe allergy to penicillin
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