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BMJ Case Rep ; 20142014 Jun 04.
Article in English | MEDLINE | ID: mdl-24899013

ABSTRACT

We report the first case of native aortic and mitral valve endocarditis due to Gemella bergeriae from the Middle East in a young patient with rheumatic heart disease. Our case illustrates a fulminant course of infection with G. bergeriae endocarditis that was complicated by embolic stroke, as well as intracerebral and subarachnoid haemorrhage secondary to rupture of a mycotic aneurysm in the right middle cerebral artery. This case highlights the dire, unreported neurological complications of infective endocarditis due to a rare causative organism-G. bergeriae.


Subject(s)
Endocarditis, Bacterial/diagnosis , Gemella/isolation & purification , Gram-Positive Bacterial Infections/diagnosis , Intracranial Aneurysm/diagnosis , Cerebral Angiography , Diagnosis, Differential , Echocardiography, Doppler , Endocarditis, Bacterial/complications , Endocarditis, Bacterial/microbiology , Gram-Positive Bacterial Infections/complications , Gram-Positive Bacterial Infections/microbiology , Humans , Intracranial Aneurysm/etiology , Male , Tomography, X-Ray Computed , Young Adult
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