title: Pseudomonas aeruginosa infective endocarditis presenting as bacterial meningitis.
abstract: 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.
authors.affiliation: Department of Neurology, Johns Hopkins University, 600 North Wolfe Street, Pathology 509, Baltimore, MD 21287, USA. avenkat2@jhmi.edu
authors.forename: Arun
authors.initials: A
authors.lastname: Venkatesan
authors.forename: Cassie
authors.initials: C
authors.lastname: Spalding
authors.forename: Andrea
authors.initials: A
authors.lastname: Speedie
authors.forename: Gita
authors.initials: G
authors.lastname: Sinha
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Rumbaugh
mesh_terms: 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
chemical_list: D002511:Cephalosporins; D005839:Gentamicins; D014640:Vancomycin; D000667:Ampicillin; D000077723:Cefepime; D000212:Acyclovir