Multi-territory ischaemic strokes and subacute bacterial endocarditis.
We describe an elderly patient presenting with cardio-embolic stroke who was found to have infective endocarditis (IE) affecting the mitral valve. Penicillin-resistant Facklamia hominis was identified as the causative pathogen. Despite initiation of aggressive antibiotic treatment, the patient suffered a fatal myocardial infarction 2 days post-diagnosis of IE. Facklamia spp. have not been previously reported to be associated with IE. Here, we discuss the link between IE and cardio-embolic stroke along with a discussion of various causative pathogens.
St George's Healthcare NHS Trust, London, UK. shsafavi@doctors.org.uk
Shahideh
S
Safavi
Michelle
M
Tufnell
Ajay
A
Bhalla
D000368:Aged; D001921:Brain / Q000473:pathology; D003937:Diagnosis, Differential; D004698:Endocarditis, Subacute Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D006095:Gram-Positive Cocci; D006801:Humans; D008279:Magnetic Resonance Imaging; D008943:Mitral Valve / Q000382:microbiology; D059906:Neuroimaging; D020521:Stroke / Q000209:etiology* / Q000382:microbiology / Q000473:pathology