Ischemic Stroke and Splenic Rupture in a Case of Streptococcus bovis Endocarditis

Author:

Stöllberger Claudia1,Finsterer Josef2,Pratter Angelika1,Kopsa Wolfgang3,Preiser Julius4,Valentin Andreas1

Affiliation:

1. Medizinische Abteilung

2. Department of Neurology

3. Department of Radiology

4. Department of Pathology, Krankenanstalt Rudolfstiftung, 1030 ViennaAustria

Abstract

ABSTRACT A 58-year-old man with an acute stroke suffered from splenic rupture. Streptococcus bovis was found in blood cultures, and gram-negative cocci were found in the infarcted spleen. Hemorrhagic transformation of the stroke occurred. Echocardiography showed aortic endocarditis. Cardiac surgery was not performed because of concern about cerebral bleeding. The patient died due to cerebral rehemorrhage after 3 weeks.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference12 articles.

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2. Bitsch, A., R. Nau, R. A. Hilgers, R. Verheggen, G. Werner, and H. W. Prange. 1996. Focal neurologic deficits in infective endocarditis and other septic diseases. Acta Neurol. Scand.94:279-286.

3. Corbi, P., H. Manic, E. Donal, F. Roblot, J. P. Richer, D. Coisne, and P. Menu. 1999. Mycotic aneurysm of the splenic artery. A rare complication of surgically treated infectious endocarditis at the same time as the causal cardiac lesion. Arch. Mal. Coeur Vaiss.92:1221-1224.

4. Delahaye, J. P., P. Poncet, V. Malquarti, J. Beaune, J. P. Gare, and J. M. Mann. 1990. Cerebrovascular accidents in infective endocarditis: role of anticoagulation. Eur. Heart J.11:1074-1078.

5. Duval, X., V. Papastamopoulos, P. Longuet, C. Benoit, C. Perronne, C. Leport, and J. L. Vilde. 2001. Definite Streptococcus bovis endocarditis: characteristics in 20 patients. Clin. Microbiol. Infect.7:3-10.

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