Infective endocarditis complicated with progressive heart failure due to β-lactamase-producing Cardiobacterium hominis

Abstract

We describe a 66-year-old woman with infective endocarditis due to Cardiobacterium hominis whose condition, complicated by severe aortic regurgitation and congestive heart failure, necessitated aortic valve replacement despite treatment with ceftriaxone followed by ciprofloxacin. The blood isolate of C. hominis produced β-lactamase and exhibited high-level resistance to penicillin (MIC, ≥256 μg/ml) and reduced susceptibility to vancomycin (MIC, 8 μg/ml).