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Review
. 2019 May 1;58(9):1361-1365.
doi: 10.2169/internalmedicine.2111-18. Epub 2019 Jan 10.

Intracranial Hemorrhaging Following Cardiobacterium hominis Endocarditis

Eitaro Okumura  1 , Junya Tsurukiri  1 , Hiroshi Yamanaka  2 , Yu Nakagawa  3 , Kunitoshi Ootsuka  4 , Yosuke Tanaka  2
Affiliations
Review

Intracranial Hemorrhaging Following Cardiobacterium hominis Endocarditis

Eitaro Okumura et al. Intern Med. .

Abstract

Acute infectious endocarditis (IE) is a complex disease that presents as a serious clinical condition associated with a high mortality rate, especially due to intracranial hemorrhaging (ICH). The most common causative organism is Staphylococcus aureus. We herein report a patient with ICH following subacute IE with a positive blood culture for Cardiobacterium hominis. A review of the existing literature revealed that acute IE associated with Cardiobacterium has been reported to cause ICH in only seven previous cases. Prolonged culture-specific antibiotic therapy along with extended surveillance of blood culture is therefore essential for timely intervention.

Keywords: HACEK; blood culture; infectious endocarditis; stroke; valvular disease.

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Conflict of interest statement

The authors state that they have no Conflict of Interest (COI).

Figures

Figure 1.
Figure 1.
Cranial computed tomography.
Figure 2.
Figure 2.
Contrast-enhanced computed tomography of the head revealing a subcortical hematoma with contrast medium extravasation.
Figure 3.
Figure 3.
Cerebral angiography showing an aneurysm arising from the distal branch of the middle cerebral artery (arrow).
See this image and copyright information in PMC

Comment in

References

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