IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-2-17953 Original Research Paper A Rare case of Pseudomonas aeruginosa? Right-sided valvular endocarditis in a congenital VSD patient A case report Nasaruddin Dr. February 2019 8 2 01 02 ABSTRACT

 A 14 year old girl with congenital ventricular septal defect was admitted for high grade fever since 1 month associated with dyspnea and vomiting for 5 days. Relevant investigations were done. OBJECTIVES: To determine the causative agent, antibiotic sensitivity pattern and its outcome in a case of Infective endocarditis. METHODS:–Blood cultures, Direct Gram’s staining Bacteriological culture and antibiotic susceptibility testing. RESULTS: Direct Gram stain of broth showed Gram negative, Gram negative bacteria bacilli with Non lactose fermenting colonies on mac–conkey agar, being sensitive to Aminoglcosides, beta–lactam antibiotics, third generation cephalosporins and carbapenems. DISCUSSION:Although  Pseudomonas aeruginosa associated endocarditis is more seen in I.V abusers, a rare case of native Right–sided valvular endocarditis was reported Pseudomonas endocarditis is associated with high mortality and mostly requires medical therapy as well surgical repair Due to emergence of resistant Pseudomonas strains, a Combined Drug therapy should be considered. CONCLUSION: Encouraging results were observed after successful treatment with combination of  Piptaz and Amikacin