Case of aortic endocarditis caused by Lactobacillus casei

A case of Lactobacillus aortic valve endocarditis in a 53-year-old immunocompetent patient with past history of rheumatic fever is reported. Clinical symptoms began after a dental extraction and the patient's diet included several yogurts per day. Blood, bone marrow cultures and the replaced aortic valve were positive for Lactobacillus. The clinical isolate was identified as Lactobacillus casei by 16S rDNA sequencing