File(s) not publicly available
Aerococcus urinae, a rare cause of aortic root abscess: a case report
journal contribution
posted on 2023-02-14, 23:12 authored by CW Tiong, C Bartolo, A Walton, Eugene AthanEugene AthanBackground: Aerococcus urinae is a bacterium of emerging clinical interest that most commonly causes urinary tract infections (UTI) but can also result in invasive infections. It is a catalase-negative, alpha-haemolytic gram-positive coccus that grows in clusters or tetrads and usually causes urinary tract infections. While rare, infective endocarditis must be considered when A. urinae is isolated in blood culture. The mortality rate of A. urinae infective endocarditis is similar to overall endocarditis mortality. We report a rare case of aortic root abscess caused by A. urinae. Case presentation: An 82-year-old Caucasian man presented to hospital with behavioural change and severe malnutrition and was managed for psychotic depression. On day 34 of his inpatient stay, a febrile episode prompted blood cultures, which grew Aerococcus. urinae. Investigations revealed a bicuspid aortic valve, aortic valve endocarditis and aortic root abscess. He also had prostatomegaly. He underwent aortic valve replacement, received 6 weeks of intravenous ceftriaxone and recovered. Conclusion: Infective endocarditis should be considered in patients with persistent Aerococcus urinae bacteraemia. Accurate identification with mass spectrometry is recommended to avoid misidentification as staphylococcus, streptococcus or enterococcus, which is a possibility with conventional laboratory methods.
History
Journal
Journal of Medical Case ReportsVolume
16Article number
ARTN 438Location
EnglandPublisher DOI
ISSN
1752-1947eISSN
1752-1947Language
EnglishPublication classification
C1 Refereed article in a scholarly journalIssue
1Publisher
BMCUsage metrics
Keywords
Science & TechnologyLife Sciences & BiomedicineMedicine, General & InternalGeneral & Internal MedicineEndocarditisAerococcusBacteraemiaCase reportCLINICAL-SIGNIFICANCEINFECTIONSMaleHumansAged, 80 and overAbscessGram-Positive Bacterial InfectionsEndocarditis, BacterialUrinary Tract InfectionsStomatognathic DiseasesCardiovascularInfectious DiseasesInfection2 Zero HungerMedical and Health Sciences not elsewhere classified
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC