Pseudomonas aeruginosa infective endocarditis presenting as bacterial meningitis.
Pseudomonas aeruginosa is a rare cause of infective endocarditis. The case of community-acquired P. aeruginosa infective endocarditis reported here is the first described in the literature to present as bacterial meningitis. Furthermore, new risk factors for P. aeruginosa infective endocarditis, including mitral annular calcification and re-use of insulin syringes, are proposed. Treatment of P. aeruginosa infective endocarditis complicated by bacterial meningitis is discussed.
Venkatesan
Arun
A
Department of Neurology, Johns Hopkins University, 600 North Wolfe Street, Pathology 509, Baltimore, MD 21287, USA. avenkat2@jhmi.edu
Spalding
Cassie
C
Speedie
Andrea
A
Sinha
Gita
G
Rumbaugh
Jeffrey A
JA
D000212:Acyclovir / Q000008:administration & dosage; D000667:Ampicillin / Q000008:administration & dosage; D002113:Calcification, Physiologic; D000077723:Cefepime; D002511:Cephalosporins / Q000008:administration & dosage; D017714:Community-Acquired Infections / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage; D006801:Humans; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D008875:Middle Aged; D011552:Pseudomonas Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification*; D012307:Risk Factors; D014640:Vancomycin / Q000008:administration & dosage
D002511:Cephalosporins; D005839:Gentamicins; D014640:Vancomycin; D000667:Ampicillin; D000077723:Cefepime; D000212:Acyclovir