Despite the frequency of Escherichia coli bacteremia, endocarditis is a very rare event. Review of the published literature yielded 127 cases with an overall mortality rate of 52%. Cases most often occur in elderly females with the urinary tract being the common source. Early surgical consultation is advised. We report a case of 56-year-old woman with mitral valve prolapse who developed infective endocarditis requiring mitral valve replacement.
From the *Department of Immunology and Infectious Diseases, Royal Newcastle Centre, Newcastle; and †University of Newcastle, Callaghan, New South Wales, Australia.
Reprints: Shyamala Arunasalam, Department of Immunology and Infectious Diseases, Royal Newcastle Centre, PO Box 664J, Newcastle, NSW 2300, Australia. E-mail: firstname.lastname@example.org; email@example.com.
The authors have no funding or conflicts of interest to disclose.