Cerebrovascular Accident in a 65-Year-Old Patient with -Associated Endocarditis.

J Glob Infect Dis

Infectious Disease Specialists, Private Practice, Cumming, Georgia, USA.

Published: August 2020

A 65-year-old male patient with a history of heart valve replacement surgery after aortic valve stenosis and a family history of heart disease presented to the emergency room with complaints of headache, fever, back pain, and general malaise. Multiple blood samples during the patient's hospitalization cultured showed . The patient was started on daily intravenous ceftriaxone and vancomycin. In the following weeks, the patient's condition deteriorated with additional symptoms, persistent inflammatory markers, and elevated fever consistent with infection. The patient's clinical progression led to a cerebrovascular accident that was resolved with thrombectomy. Full symptomatic relief occurred after a valve replacement. , a common mouth flora, is not commonly pathogenic. This case is of particular importance as severe complications involving this bacterium are rare. There is an extreme paucity of cases involving deadly complications of , and there is no general consensus involving standard treatment regimen for this bacterium. We believe that this paper adds to clinical knowledge surrounding .

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733421PMC
http://dx.doi.org/10.4103/jgid.jgid_136_19DOI Listing

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