title: Native valve endocarditis caused byKocuria roseacomplicated by peripheral mycotic aneurysm in an elderly host.
abstract: Infective endocarditis still remains a dreaded illness among treating physicians because of the disease course, its need for meticulous antibiotic management, complications, and overall morbidity. Peripheral mycotic aneurysms are a rarely reported complication of infective endocarditis. Mycotic aneurysms occur in about 5%-10% of cases of infective endocarditis, and most of them involve the intracranial vessels. Here, we report a case of native valve endocarditis in a 74-year-old man caused by Kocuria rosea. He presented with septic shock and acute kidney injury. His illness was complicated by a right popliteal artery mycotic aneurysm. He was treated with intravenous ceftriaxone and vancomycin. The mycotic aneurysm needed aneurysmectomy and anastomosis with a graft.
authors.affiliation: Department of Family Medicine, Sundaram Medical Foundation, Chennai, Tamil Nadu, India.
authors.forename: P
authors.initials: P
authors.lastname: Gunaseelan
authors.affiliation: Department of General Medicine, Sundaram Medical Foundation, Chennai, Tamil Nadu, India.
authors.forename: G
authors.initials: G
authors.lastname: Suresh
authors.affiliation: Department of General Medicine, Sundaram Medical Foundation, Chennai, Tamil Nadu, India.
authors.forename: V
authors.initials: V
authors.lastname: Raghavan
authors.affiliation: Department of General Medicine, Sundaram Medical Foundation, Chennai, Tamil Nadu, India.
authors.forename: S
authors.initials: S
authors.lastname: Varadarajan
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D000785:Aneurysm, Infected / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004452:Echocardiography; D004696:Endocarditis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D018810:Magnetic Resonance Angiography; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging*; D011150:Popliteal Artery / Q000000981:diagnostic imaging* / Q000601:surgery; D012772:Shock, Septic / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents