Ischemic stroke and splenic rupture in a case of Streptococcus bovis endocarditis.
A 58-year-old man with an acute stroke suffered from splenic rupture. Streptococcus bovis was found in blood cultures, and gram-negative cocci were found in the infarcted spleen. Hemorrhagic transformation of the stroke occurred. Echocardiography showed aortic endocarditis. Cardiac surgery was not performed because of concern about cerebral bleeding. The patient died due to cerebral rehemorrhage after 3 weeks.
Stöllberger
Claudia
C
Medizinische Abteilung. Department of Neurology. Department of Radiology. Department of Pathology, Krankenanstalt Rudolfstiftung, 1030 Vienna, Austria. claudia.stoellberger@chello.at
Finsterer
Josef
J
Pratter
Angelika
A
Kopsa
Wolfgang
W
Preiser
Julius
J
Valentin
Andreas
A
D001769:Blood / Q000382:microbiology; D002545:Brain Ischemia / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013154:Spleen / Q000382:microbiology; D013161:Splenic Rupture / Q000209:etiology* / Q000382:microbiology; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology; D016985:Streptococcus bovis / Q000302:isolation & purification*; D020521:Stroke / Q000209:etiology*