alexa Aerococcus Urinae Infective Endocarditis-related Stroke: A Case Report | OMICS International
ISSN: 2329-9517

Journal of Cardiovascular Diseases & Diagnosis
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Case Report

Aerococcus Urinae Infective Endocarditis-related Stroke: A Case Report

Jennifer A Creed*, Divyang Patel and Larry B Goldstein
Duke University, DUMC 2905, Durham, USA
Corresponding Author : Jennifer A Creed
Duke University, DUMC 2905, Durham, USA
Tel: 919-681-1700
Fax: 919-668-1294
E-mail: [email protected]
Received: December 15, 2015;Accepted: January 11, 2016; Published: January 17, 2016
Citation: Creed JA, Patel D, Goldstein LB (2016) Aerococcus Urinae Infective Endocarditis-related Stroke: A Case Report. J Cardiovasc Dis Diagn 4:232.doi:10.4172/2329-9517.1000232
Copyright: © 2016 Creed JA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Aerococcus urinae is a Gram-positive, catalase-negative coccus that was first defined in 1992. A. urinae is responsible for up to 0.8% of all cases of urinary tract infection. Typical predisposing factors include male sex, age >65 years and pre-existing urinary pathology. A. urinae is a rare cause of endocarditis but has a high associated morbidity and mortality. Sepsis or septic shock is the primary clinical presentation but there have been several reports of cerebral ischemic events in the setting of A. urinae endocarditis. These case descriptions are very limited and do not include brain imaging. We describe the clinical course of a 75 year-old man who, in the setting of A. urinae mitral valve endocarditis, presented with symptoms and imaging findings consistent with embolic cerebral infarction. Importantly, mitral valve vegetation was detected only after transesophageal echocardiography. Given the risk of morbidity without treatment, these data support pursuing a transesophageal approach even when transthoracic echo is negative.

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