A case of multiple brain infarctions associated with Erysipelothrix rhusiopathiae endocarditis.
A 63-year-old woman was admitted to our hospital because of fever and altered mentality. Brain magnetic resonance imaging showed multiple infarctions at the basal ganglia, cerebellum, and subcortical white matter with petechial hemorrhage, which was more easily seen on gradient echo images. Erysipelothrix rhusiopathiae was cultured from her blood, and echocardiography showed septic vegetations in the mitral valve. She recovered fully after 6 weeks of appropriate antibiotic treatment.
Ko
Sang-Bae
SB
Department of Neurology, Seoul National University Hospital, Yongon-dong 28, Chongno-gu, 110-744, Seoul, Korea.
Kim
Dong-Eog
DE
Kwon
Hyung-Min
HM
Roh
Jae-Kyu
JK
D020520:Brain Infarction / Q000382:microbiology*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology*; D004888:Erysipelothrix / Q000302:isolation & purification*; D004889:Erysipelothrix Infections / Q000150:complications*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged