title: Unreported neurological complications of Gemella bergeriae infective endocarditis.
abstract: We report the first case of native aortic and mitral valve endocarditis due to Gemella bergeriae from the Middle East in a young patient with rheumatic heart disease. Our case illustrates a fulminant course of infection with G. bergeriae endocarditis that was complicated by embolic stroke, as well as intracerebral and subarachnoid haemorrhage secondary to rupture of a mycotic aneurysm in the right middle cerebral artery. This case highlights the dire, unreported neurological complications of infective endocarditis due to a rare causative organism-G. bergeriae.
authors.affiliation: Department of Internal Medicine, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Kosar
authors.initials: K
authors.lastname: Hussain
authors.affiliation: Department of Medical Intensive Care Unit, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Jawed
authors.initials: J
authors.lastname: Abubaker
authors.affiliation: Department of Pathology Unit, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Zulfa Omar
authors.initials: ZO
authors.lastname: Al Deesi
authors.affiliation: Department of Medical Intensive Care Unit, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
authors.forename: Raees
authors.initials: R
authors.lastname: Ahmed
mesh_terms: D002533:Cerebral Angiography; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D058834:Gemella / Q000302:isolation & purification*; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D014057:Tomography, X-Ray Computed; D055815:Young Adult