A Novel Case of Weissella confusa Infective Endocarditis of a Bio-Prosthetic Valve: Management and Treatment

Weissella confusa is a rare gram-positive, non-spore-forming, catalase-negative, gram-positive coccobacillus, and a pleomorphic gram-positive rod (GPR) often misidentified as Lactobacillus genus. It was first discovered in 1993 and is becoming identified due to the increasing use of DNA sequencing. The true incidence of this species has likely been underestimated and it has been implicated in poly-microbial bacteremia. We present an exceedingly rare case of its presentation found incidentally in a patient with a bio-prosthetic aortic and mitral valve that was successfully managed and treated.