Lactococcus garvieaeendocarditis presenting with subdural haematoma

BMC Cardiovascular Disorders

Case Report

Bertil Christensson¹  Magnus Rasmussen¹  Josefin Björk Werner¹  Mikaela Dolk¹ 

[1] Division of Infection Medicine, From the Department of Clinical Sciences, BMC, Lund University, B14, Tornavägen 10, 22184, Lund, Sweden;

关键词: Infective endocarditis;    Lactococcus garvieae;    Subdural haematoma;   

DOI  :  10.1186/1471-2261-14-13

 received in 2013-10-22, accepted in 2014-01-29,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundLactococcus garvieae is a rare cause of infective endocarditis (IE) in humans and the bacterium can easily be misidentified. Intracranial haemorrhage often occurs in conjunction with IE, but subdural haemorrhage (SDH) is very rarely encountered.Case presentationThe patient was an 81-year-old male with a history of cardiovascular disease and a prosthetic biologic aortic valve. He presented with fatigue and an acute onset of headache. Computed tomography (CT) revealed a left-sided fronto-temporal subdural haematoma. Low-grade fever was noted and blood cultures yielded growth of L. garvieae. Transesophageal echocardiography (TEE) revealed small vegetations on the native mitral valve and on the prosthetic aortic valve. Treatment with penicillin and tobramycin was initiated and the recovery was slow but uneventful.ConclusionThis is the first report of a case where SDH was the sole presenting neurological sign of IE. The case demonstrates that IE should be considered in patients with SDH where a history of trauma is absent, especially if the patient has fever or predisposing conditions such as a prosthetic heart valve.

【 授权许可】

CC BY   
© Rasmussen et al.; licensee BioMed Central Ltd. 2014