Department of Microbiology, Kasturba Medical College, Manipal University, India.
Braz J Infect Dis. 2010 Nov-Dec;14(6):634-6.
The fastidious Gram-positive cocci Granulicatella adiacens, previously known as nutritionally variant streptococci (NVS) are unusual but significant cause of endocarditis due to increased mortality and morbidity. Difficulties in reaching correct bacteriological identification, increased resistance to beta-lactam antibiotics and macrolides and complicated clinical course have contributed to problems in management of cases of infective endocarditis caused by this bacterium. We present the first Indian case of endocarditis with arterial embolus by G. adiacens in an elderly male with no preexisting cardiac abnormality.
挑剔的革兰阳性球菌颗粒状亚种，以前称为营养变异链球菌（NVS），是一种不常见但重要的细菌性心内膜炎病因，可导致较高的死亡率和发病率。由于在正确的细菌学鉴定方面存在困难、对β-内酰胺类抗生素和大环内酯类药物的耐药性增加以及复杂的临床病程，导致这种细菌引起的感染性心内膜炎的治疗存在问题。我们报告了首例印度老年男性心内膜炎合并动脉栓塞病例，由 G. adiacens 引起，该患者无先存的心脏异常。
