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Australas Med J. 2013 Apr 30;6(4):172-4. doi: 10.4066/AMJ.2013.1577. Print 2013.

A case of Kingella kingae endocarditis complicated by native mitral valve rupture.

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  • 1Barwon Health - The Geelong Hospital, Departments of Infectious Diseases, General Medicine, Cardiology and Cardiothoracic Surgery.


We report a case of Kingella kingae endocarditis in a patient with a history of recent respiratory tract infection and dental extraction. This case is remarkable for embolic and vasculitic phenomena in association with a large valve vegetation and valve perforation. Kingella kingae is an organism known to cause endocarditis, however early major complications are uncommon. Our case of Kingella endocarditis behaved in a virulent fashion necessitating a combined approach of intravenous antibiotic therapy and a valve replacement. It highlights the importance of expedited investigation for endocarditis in patients with Kingella bacteraemia.


Endocarditis; Kingella kingae; Mitral Valve Rupture

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