title: Renal embolism as a primary manifestation of Streptococcus dysgalactiae subspecies equisimilis endocarditis in a patient with chronic aortic dissection.
abstract: We report a case of renal embolism as an initial manifestation of Streptococcus dysgalactiae subspecies equisimilis (SDSE) endocarditis in a patient with chronic aortic dissection. A 37-year-old man who underwent total aortic arch replacement owing to aortic dissection, presented with a 3-h history of fever, chills, and acute right-sided flank pain. The endocarditis affected the native aortic valve and was complicated by a renal embolism. Blood culture results were positive for SDSE. Intravenous penicillin resulted in satisfactory clinical and echocardiographic recovery.
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Naoto
authors.initials: N
authors.lastname: Ishimaru
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Saori
authors.initials: S
authors.lastname: Kinami
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Ohnishi
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Asuka
authors.initials: A
authors.lastname: Takagi
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Megumi
authors.initials: M
authors.lastname: Kawamoto
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Ryota
authors.initials: R
authors.lastname: Doukuni
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Kanoko
authors.initials: K
authors.lastname: Umezawa
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Sachiko
authors.initials: S
authors.lastname: Oozone
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Sho
authors.initials: S
authors.lastname: Yoshimura
authors.affiliation: Department of Respiratory Medicine and Internal Medicine, Akashi Medical Center, Japan.
authors.forename: Susumu
authors.initials: S
authors.lastname: Sakamoto
mesh_terms: D061605:Administration, Intravenous; D000328:Adult; D000784:Aortic Dissection / Q000150:complications; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001014:Aortic Aneurysm / Q000150:complications*; D002908:Chronic Disease; D004696:Endocarditis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D008297:Male; D010406:Penicillins / Q000008:administration & dosage; D012078:Renal Artery Obstruction / Q000150:complications / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D013291:Streptococcus / Q000145:classification / Q000302:isolation & purification* / Q000472:pathogenicity; D013923:Thromboembolism / Q000150:complications / Q000382:microbiology*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D010406:Penicillins