Neisseria elongata endocarditis complicated by brain embolism and abscess.
We report a case of Neisseria elongata endocarditis with thalamic septic embolization and subsequent brain abscess formation, which to the best of our knowledge has never been reported in the literature. The brain abscess completely resolved after a surgical repair of the infected mitral valve and an additional 4 weeks of antimicrobial therapy. Based on a review of all previous reports of N. elongata endocarditis, including ours, this will remind physicians that invasive N. elongata infections should be managed and followed up cautiously, as surgical intervention is often required.
Hsiao
Ju-Feng
JF
Division of Cardiology, Department of Internal Medicine, Chang Gung University College of Medicine, Taipei, Taiwan, ROC.
Lee
Ming-Hsun
MH
Division of Infectious Diseases, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan, ROC.
Chia
Ju-Hsin
JH
Department of Clinical Pathology and Department of Medical Biotechnology and Laboratory Science, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan, ROC.
Ho
Wan-Jing
WJ
Division of Cardiology, Department of Internal Medicine, Chang Gung University College of Medicine, Taipei, Taiwan, ROC.
Chu
Jaw-Ji
JJ
Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan, ROC.
Chu
Pao-Hsien
PH
Division of Cardiology, Department of Internal Medicine, Chang Gung University College of Medicine, Taipei, Taiwan, ROC.
D000328:Adult; D001922:Brain Abscess / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D016905:Gram-Negative Bacterial Infections / Q000150:complications* / Q000382:microbiology; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology*; D008297:Male; D009343:Neisseria / Q000145:classification* / Q000302:isolation & purification*; D013788:Thalamus / Q000473:pathology