A case of Corynebacterium striatum endocarditis successfully treated with an early switch to oral antimicrobial therapy

Simona Biscarini, Marta Colaneri, Bianca Mariani, Teresa Chiara Pieri, Raffaele Bruno, Elena Seminari

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with Corynebacterium striatum endocarditis are usually managed with long-term intravenous antibiotic therapy and hospitalization. Here we describe a case of a 76-year-old woman with hepatitis C virus (HCV) related cirrhosis who developed endocarditis due to Corynebacterium striatum associated with severe aortic regurgitation. To our knowledge, this is the first case to be successfully treated with an early switch to oral linezolid after three weeks of vancomycin. We performed a literature review using the PubMed database and found 27 cases which showed the enhanced viru-lence of this pathogen especially for long-term hospitalized patients with a frequent need of surgical treat-ment (44.4%) and long course of parenteral antimicrobial therapy, with vancomycin as drug of choice. There are no studies confirming the possibility of using oral treatment in non-diphtheritic Corynebacteria infective endocarditis. This case report provides us with the evidence that once the patient is in a stable condition, the efficacy and safety of linezolid might be similar to vancomycin administration. New trials and prospective studies are needed to confirm the opportunity of an early switch to oral therapy in this specific setting.

Original languageEnglish
Pages (from-to)138-144
Number of pages7
JournalInfezioni in Medicina
Volume29
Issue number1
Publication statusPublished - 2021

Keywords

  • Corynebacterium striatum
  • Endocarditis
  • Line-zolid
  • Oral therapy

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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