title: Beta-hemolytic streptococcus group A endocarditis: a rare clinical presentation.
abstract: A case report of an elderly gentleman is reported herein, who presented with one week history of fever, drowsiness and left lower limb weakness. Examination revealed left lower limb weakness with power of grade 3/5. His workup showed evidence of infection and multiple cerebral infarcts on the right side. Blood culture grew Streptococcus pyogens. Echocardiogram showed two vegetations on the aortic valve. Fever was the main presenting feature in this case but it was the presentation of patient with multiple cerebral infarcts that lead to the diagnosis of infective endocarditis. The organism causing Infective Endocarditis (IE) in this patient was a rare one.
authors.affiliation: Department of Medicine, Aga Khan University Hospital, Karachi, Pakistan. aysha-almas@aku.edu
authors.forename: Aysha
authors.initials: A
authors.lastname: Almas
authors.forename: Muhammad
authors.initials: M
authors.lastname: Tariq
mesh_terms: D000368:Aged; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D001022:Aortic Valve Insufficiency; D002544:Cerebral Infarction; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology*; D017809:Fatal Outcome; D006333:Heart Failure; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*
chemical_list: D000806:Angiotensin-Converting Enzyme Inhibitors