Aortic Valve Endocarditis Caused by <scp> <i>Streptococcus acidominimus</i> </scp> Following Community‐Acquired Pneumonia in a Patient With Diabetes Mellitus: A Case Report

, and he was discharged on oral antibiotics after transient improvement. He was readmitted with recurrent fever, and transesophageal echocardiography revealed aortic valve vegetations with severe regurgitation. The patient received targeted intravenous antibiotics and underwent successful aortic valve replacement, achieving full recovery after six weeks of therapy. This case underscores the need to consider rare pathogens in persistent bacteraemia, repeat cardiac imaging when suspicion remains high despite inconclusive findings, and adopt a multidisciplinary approach to optimise outcomes, particularly in diabetic patients and resource-limited settings.

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Publication Details

Journal
Respirology Case Reports
Published
2026-04-01
DOI
https://doi.org/10.1002/rcr2.70563
Primary Topic
Infective Endocarditis Diagnosis and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Aortic Valve Endocarditis Caused by Streptococcus acidominimus Following Community‐Acquired Pneumonia in a Patient With Diabetes Mellitus: A Case Report

Ing Cheng, Heng C. Leang, Menghak Heng, Thy Try et al.
Respirology Case Reports
Infective Endocarditis Diagnosis and Management
article

Aortic Valve Endocarditis Caused by Streptococcus acidominimus Following Community‐Acquired Pneumonia in a Patient With Diabetes Mellitus: A Case Report

Ing Cheng, Heng C. Leang, Menghak Heng, Thy Try, Bunpaul Chhar, Sophou Chit, Vibopha Srey, Saly Saint, Chheang Khor, Kimhun Ton, Borin Hem, Sopha Uy, Sarin Ean, Chhayhout Chheang, Sopheak Phy
article en

Abstract

, and he was discharged on oral antibiotics after transient improvement. He was readmitted with recurrent fever, and transesophageal echocardiography revealed aortic valve vegetations with severe regurgitation. The patient received targeted intravenous antibiotics and underwent successful aortic valve replacement, achieving full recovery after six weeks of therapy. This case underscores the need to consider rare pathogens in persistent bacteraemia, repeat cardiac imaging when suspicion remains high despite inconclusive findings, and adopt a multidisciplinary approach to optimise outcomes, particularly in diabetic patients and resource-limited settings.

Respirology Case ReportsVol. 14(4)
Angkor Hospital for Children (KH), Calmette Hospital (KH), University of Cambodia (KH), Cambodia-Oxford Medical Research Unit (KH), Documentation Center of Cambodia (KH), Royal University of Phnom Penh (KH)
Openalex Percentile: Top 34%
Infective Endocarditis Diagnosis and Management
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