Benefits of a Pre-Treatment Comprehensive Geriatric Assessment in a Rare Case of <i>Gemella Haemolysans</i> Endocarditis in an 86-Year-Old Patient and a Review of the Literature
Lucie Sadaune,
Frédéric Roca,
Mathilde Bordage,
Vincent Le Guillou,
Anais Lesourd,
Anne Michel
Affiliations
Lucie Sadaune
Department of Geriatric Medicine, Rouen University Hospital, 1 rue de Germont, 76000 Rouen, France
Frédéric Roca
Department of Geriatric Medicine, Rouen University Hospital, 1 rue de Germont, 76000 Rouen, France
Mathilde Bordage
Department of Geriatric Medicine, Rouen University Hospital, 1 rue de Germont, 76000 Rouen, France
Vincent Le Guillou
Department of Thoracic and Cardiac Surgery, Rouen University Hospital, 1 Rue de Germont, 76000 Rouen, France
Anais Lesourd
Department of Infectious Disease, Rouen University Hospital, 1 Rue de Germont, 76000 Rouen, France
Anne Michel
Department of Geriatric Medicine, Rouen University Hospital, 1 rue de Germont, 76000 Rouen, France
Infective endocarditis is a serious condition, which is associated with high mortality in elderly patients. Gemella haemolysans (GH) is a microorganism from the Streptococcus family, rarely involved in infective endocarditis. Here, we present a case of Gemella haemolysans endocarditis in an 86-year-old patient, successfully treated by antibiotics and surgery following a pre-treatment comprehensive geriatric assessment (CGA). This case is discussed in the context of a review of all published cases of Gemella haemolysans endocarditis. We illustrate the benefit of a systematic pre-treatment comprehensive geriatric assessment in elderly patients with infective endocarditis.
