| Cardiobacterium hominis endocarditis presenting as acute embolic stroke: A case report and review of the literature. | |
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MedLine Citation:
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PMID: 20598374 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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We report on a case of endocarditis attributable to Cardiobacterium hominis in a 31-year-old man who presented with acute-onset, left-sided hemiparesthesia. Magnetic resonance imaging of the brain showed acute infarctions in 2 areas of the right cerebral cortex, and a transesophageal echocardiogram revealed vegetation in a previously unrecognized bicuspid aortic valve. The patient completed a 6-week course of ceftriaxone and aspirin, with resolution of the vegetation and neurological complications. Our literature review of C. hominis endocarditis suggests that aortic-valve involvement is associated with high stroke and valve-surgery rates. Favorable outcomes and treatment success are evident with either penicillin or ceftriaxone, in combination with (if indicated) valve surgery in patients with neurological complications. |
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Authors:
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Teera Chentanez; Thana Khawcharoenporn; Nalurporn Chokrungvaranon; James Joyner |
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Publication Detail:
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Type: Journal Article Date: 2010-07-03 |
Journal Detail:
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Title: Heart & lung : the journal of critical care Volume: 40 ISSN: 1527-3288 ISO Abbreviation: Heart Lung Publication Date: 2011 May-Jun |
Date Detail:
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Created Date: 2011-05-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0330057 Medline TA: Heart Lung Country: United States |
Other Details:
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Languages: eng Pagination: 262-9 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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