Patients with chronic kidney failure have an increased risk of bacteremia and endocarditis. Gram-negative rods are not a common cause of endocarditis, but morbidity and mortality are significant. Citrobacter, a gram-negative rod, is a rare cause of infective endocarditis. We report a case of Citrobacter koseri endocarditis in a patient undergoing hemodialysis.
From the *Division of Infectious Diseases, Department of Medicine, Creighton University School of Medicine, and †Division of Infectious Diseases, Department of Medicine, University of Nebraska Medical Center,Omaha, NE.
Reprints: Carlos E. Figueroa Castro, MD, Creighton University School of Medicine, 4101 Woolworth Ave 111D, Omaha, NE 68105. E-mail: firstname.lastname@example.org.