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Infective endocarditis and brain abscess secondary to Aggregatibacter aphrophilus

Aggregatibacter aphrophilus is a rare cause of infective endocarditis that was first described in 1940 by Khairat et al. and is now classified under the HACEK group of bacteria (Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae). There is limit...

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Autores principales: Daoud, Hussein, Abugroun, Ashraf, Olanipekun, Olalekan, Garrison, Daniel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535683/
https://www.ncbi.nlm.nih.gov/pubmed/31193507
http://dx.doi.org/10.1016/j.idcr.2019.e00561
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author Daoud, Hussein
Abugroun, Ashraf
Olanipekun, Olalekan
Garrison, Daniel
author_facet Daoud, Hussein
Abugroun, Ashraf
Olanipekun, Olalekan
Garrison, Daniel
author_sort Daoud, Hussein
collection PubMed
description Aggregatibacter aphrophilus is a rare cause of infective endocarditis that was first described in 1940 by Khairat et al. and is now classified under the HACEK group of bacteria (Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae). There is limited literature describing the extracardiac complications of infective endocarditis caused by this organism. We report a case of a 53-year-old male with no significant past medical history who developed acute infective endocarditis complicated by a brain abscess caused by A. aphrophilus. The patient underwent aspiration of the abscess and treated with a long course of intravenous antimicrobials. This case represents a rare complication of infective endocarditis caused by A. aphrophilus and to the best of our knowledge, is the second reported case in the literature describing such a complication in a previously healthy patient. Although neurological sequela is associated with higher mortality and may be the presenting symptom of infective endocarditis, it may also be clinically silent – only detected upon imaging.
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spelling pubmed-65356832019-05-30 Infective endocarditis and brain abscess secondary to Aggregatibacter aphrophilus Daoud, Hussein Abugroun, Ashraf Olanipekun, Olalekan Garrison, Daniel IDCases Article Aggregatibacter aphrophilus is a rare cause of infective endocarditis that was first described in 1940 by Khairat et al. and is now classified under the HACEK group of bacteria (Haemophilus spp., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae). There is limited literature describing the extracardiac complications of infective endocarditis caused by this organism. We report a case of a 53-year-old male with no significant past medical history who developed acute infective endocarditis complicated by a brain abscess caused by A. aphrophilus. The patient underwent aspiration of the abscess and treated with a long course of intravenous antimicrobials. This case represents a rare complication of infective endocarditis caused by A. aphrophilus and to the best of our knowledge, is the second reported case in the literature describing such a complication in a previously healthy patient. Although neurological sequela is associated with higher mortality and may be the presenting symptom of infective endocarditis, it may also be clinically silent – only detected upon imaging. Elsevier 2019-05-17 /pmc/articles/PMC6535683/ /pubmed/31193507 http://dx.doi.org/10.1016/j.idcr.2019.e00561 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Daoud, Hussein
Abugroun, Ashraf
Olanipekun, Olalekan
Garrison, Daniel
Infective endocarditis and brain abscess secondary to Aggregatibacter aphrophilus
title Infective endocarditis and brain abscess secondary to Aggregatibacter aphrophilus
title_full Infective endocarditis and brain abscess secondary to Aggregatibacter aphrophilus
title_fullStr Infective endocarditis and brain abscess secondary to Aggregatibacter aphrophilus
title_full_unstemmed Infective endocarditis and brain abscess secondary to Aggregatibacter aphrophilus
title_short Infective endocarditis and brain abscess secondary to Aggregatibacter aphrophilus
title_sort infective endocarditis and brain abscess secondary to aggregatibacter aphrophilus
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6535683/
https://www.ncbi.nlm.nih.gov/pubmed/31193507
http://dx.doi.org/10.1016/j.idcr.2019.e00561
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