title: Ischemic stroke and splenic rupture in a case of Streptococcus bovis endocarditis.
abstract: 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.
authors.affiliation: Medizinische Abteilung. Department of Neurology. Department of Radiology. Department of Pathology, Krankenanstalt Rudolfstiftung, 1030 Vienna, Austria. claudia.stoellberger@chello.at
authors.forename: Claudia
authors.initials: C
authors.lastname: Stöllberger
authors.forename: Josef
authors.initials: J
authors.lastname: Finsterer
authors.forename: Angelika
authors.initials: A
authors.lastname: Pratter
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Kopsa
authors.forename: Julius
authors.initials: J
authors.lastname: Preiser
authors.forename: Andreas
authors.initials: A
authors.lastname: Valentin
mesh_terms: 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*