Academic Journal

A case of stroke as a unique sign of subclinical infective endocarditis by Abiotrophia defectiva: a case report

التفاصيل البيبلوغرافية
العنوان: A case of stroke as a unique sign of subclinical infective endocarditis by Abiotrophia defectiva: a case report
المؤلفون: Silvia Puxeddu, Valeria Virdis, Daniele Sacco, Mario Depau, Alessandro M. Atzei, Lorella Pisano, Marcello Di Rosa, Stefania Vacquer, Giorgio Accardi, Emiliano M. Cirio, Aldo Manzin, Cristiana Marinelli, Fabrizio Angius
المصدر: International Journal of Emergency Medicine, Vol 18, Iss 1, Pp 1-7 (2025)
بيانات النشر: BMC, 2025.
سنة النشر: 2025
المجموعة: LCC:Medical emergencies. Critical care. Intensive care. First aid
مصطلحات موضوعية: Abiotrophia defectiva, Infective endocarditis, Valve replacement, Blood cultures, MALDI-TOF, Case report, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
الوصف: Abstract Purpose Here we describe a patient admitted for a stroke that was unexpectedly correlated with subclinical infective endocarditis attributable to a rarely opportunistic pathogen, Abiotrophia defectiva. Case report A 75-year-old man presented with a stroke. Transesophageal echocardiography suggested vegetation on all aortic valve cusps, despite the absence of clinical or laboratory signs of infection. Surprisingly, three sets of blood cultures collected without fever were positive for A. defectiva. Although the patient did not exhibit classic signs of infection during hospitalization, the severity of the valve condition necessitated replacement with a bioprosthesis. Conclusions This clinical case underscores the importance of investigating the infective origin of endocarditis, even in the absence of clinical or laboratory evidence. Physicians should maintain a high level of suspicion, especially in patients with highly suggestive anamnestic characteristics.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1865-1380
Relation: https://doaj.org/toc/1865-1380
DOI: 10.1186/s12245-025-00814-6
URL الوصول: https://doaj.org/article/2489205d17fa41f0b6ca59aa35bd1db2
رقم الانضمام: edsdoj.2489205d17fa41f0b6ca59aa35bd1db2
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:18651380
DOI:10.1186/s12245-025-00814-6