Cardiovascular Diseases & Diagnosis

Larry B Goldstein

Publications

• Case Report
  Aerococcus Urinae Infective Endocarditis-related Stroke: A Case Report
  Author(s): Jennifer A Creed, Divyang Patel and Larry B GoldsteinJennifer A Creed, Divyang Patel and Larry B Goldstein
  
  Aerococcus urinae is a Gram-positive, catalase-negative coccus that was first defined in 1992. A. urinae is responsible for up to 0.8% of all cases of urinary tract infection. Typical predisposing factors include male sex, age >65 years and pre-existing urinary pathology. A. urinae is a rare cause of endocarditis but has a high associated morbidity and mortality. Sepsis or septic shock is the primary clinical presentation but there have been several reports of cerebral ischemic events in the setting of A. urinae endocarditis. These case descriptions are very limited and do not include brain imaging. We describe the clinical course of a 75 year-old man who, in the setting of A. urinae mitral valve endocarditis, presented with symptoms and imaging findings consistent with embolic cerebral infarction. Importantly, mitral valve vegetation was detected only after transesophageal echocar.. Read More»
  DOI: 10.4172/2329-9517.1000232

  Abstract PDF