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
Article Information
Article History:
Received Date: 23/11/2017
Revision Received Date: 11/03/2018
Acceptance Date: 12/03/2018
Electronic publication date: 30/03/2018
Collection year: 2018
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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: (
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* 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
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.