Lactobacillus rhamnosus endocarditis complicating colonoscopy

We report the first case of endocarditis caused by Lactobacillus after an uneventful colonoscopy. The initial empiric treatment with the standard regimen of penicillin-aminoglycoside failed; Subsequent treatment with a combination of antibiotics, selected according to the in vitro studies, was successful. (C) 2001 The British Infection Society.