A Case Series and Review of Bacillus Cereus Endocarditis from India



Anusha Gopinathan1, *, Anil Kumar2, Amitabh C. Sen3, Srisruthy Sudha4, Praveen Varma5, Sunil GS6, Malini Eapen7, Kavitha R. Dinesh8
1 Department of Microbiology, Amrita Institute of Medical Sciences, Amrita University, Clinical Assistant Professor, AIMS Ponekkara, Edappally, Kochi 682041, India
2 Department of Microbiology, Amrita Institute of Medical Sciences, Amrita University, Clincial Professor, AIMS Ponekkara, Edappally, Kochi 682041, India
3 Department of Anaesthesiology and Critical care medicine, Amrita Institute of Medical Sciences, Amrita University, Clinical Assistant Professor, AIMS Ponekkara, Edappally, Kochi 682041, India
4 Department of Microbiology, Amrita Institute of Medical Sciences, Amrita University, Junior resident, AIMS Ponekkara, Edappally, Kochi 682041, India
5 Department of Cardiovascular and Thoracic Surgery, Amrita Institute of Medical Sciences, Amrita University, Clinical professor and Head, AIMS Ponekkara, Edappally, Kochi 682041, India
6 Department of Paediatric and Congenital heart surgery, Amrita Institute of Medical Sciences, Amrita University, Clinical professor, AIMS Ponekkara, Edappally, Kochi 682041, India
7 Department of Pathology, Amrita Institute of Medical Sciences, Amrita University,, Clinical Professor, AIMS Ponekkara, Edappally, Kochi 682041, India
8 Department of Microbiology, Amrita Institute of Medical Sciences, Amrita University, Clinical Professor, AIMS Ponekkara, Edappally, Kochi 682041, India


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© 2018 Gopinathan et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Microbiology, Amrita Institute of Medical Sciences, Amrita University , Anusha Gopinathan, Clinical Assistant Professor, AIMS Ponekkara, Edappally, Kochi 682041, India Tel; +919447423236; E-mails: anusha.gopinathan@gmail.com, anushag20693@aims.amrita.edu


Abstract

Introduction:

Bacillus cereus is a gram positive bacilli found commonly in the soil and environment. It is a bacteria rarely associated with endocarditis.

Case History:

Intravenous drug abuse, presence of valvular defects, pacemakers, immunodeficiency are some of the known risk factors for B.cereus endocarditis. We present here a case series of two patients with B.cereus endocarditis along with a review of the literature.

Conclusion:

This is the first report of B.cereus endocarditis from India to the best of our knowledge.

Keywords: Valvular heart disease, Endocarditis, Bacillus species, Gram positive bacilli, Bacteremia, Infant.