A rare case of Aerococcus urinae infective endocarditis in an atypically young male: case report and review of the literature
| Autor: | David B. Graham, Ana E Markelz, Serafim Perdikis, Joseph M. Yabes |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 0301 basic medicine Spondylodiscitis Aerococcus medicine.medical_specialty Pediatrics 030106 microbiology Case Report Aerococcus urinae Comorbidity 030204 cardiovascular system & hematology lcsh:Infectious and parasitic diseases 03 medical and health sciences Aerococci 0302 clinical medicine Medical microbiology medicine Humans Endocarditis lcsh:RC109-216 Gram-Positive Bacterial Infections biology business.industry Endocarditis Bacterial medicine.disease biology.organism_classification Survival Analysis Anti-Bacterial Agents Infectious Diseases Bacteremia Infective endocarditis Mitral Valve Gentamicin business Meningitis medicine.drug |
| Zdroj: | BMC Infectious Diseases BMC Infectious Diseases, Vol 18, Iss 1, Pp 1-7 (2018) |
| ISSN: | 1471-2334 |
| Popis: | Background Aerococcus urinae is a gram-positive, alpha-hemolytic coccus bacterium primarily implicated in less than 1 % of all symptomatic urinary tract infections. Risk factors for disease include male gender, advanced age, and comorbid genitourinary tract pathology. Infections beyond the genitourinary tract are rare, though spondylodiscitis, perineal abscesses, lymphadenitis, bacteremia, meningitis, and endocarditis have been reported. Less than fifty cases of A. urinae infective endocarditis (IE) have been described in the literature. The rare occurrence of A. urinae in human infections and resultant lack of randomized controlled trials have resulted in a significant degree of clinical uncertainty in the management of A. urinae IE. Case presentation We present an unusual case of a forty-three year-old male with A. urinae infective endocarditis (IE) who was successfully treated with mitral valve replacement and six weeks of penicillin/gentamicin therapy. In addition, we include a comprehensive review of all reported cases of IE due to A. urinae with specific attention to therapeutic regimens and treatment durations. Conclusion Recent advances in diagnostic technology have led to an increase in the frequency A. urinae is diagnosed. Reviewing cases of Aerococcus urinae infections, their clinical courses and subsequent management can assist future healthcare providers and their patients. |
| Databáze: | OpenAIRE |
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