Aerococcus Urinae Endocarditis Presenting with Bilateral Cerebellar Infarcts

Kaie Rosborough; Bryce A. Durafourt; Winnie Chan; Peggy DeJong; Ramana Appireddy

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Aerococcus Urinae Endocarditis Presenting with Bilateral Cerebellar Infarcts

机译：药房尿池内科炎呈现与双侧小脑梗死的

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Aerococcus urinae is a urinary tract coloniser, and is known to be a causative agent of infective endocarditis in elderly men, with associated high case fatality despite appropriate antibiotic treatment and surgical intervention. An aggressive treatment approach using combination antibiotics (penicillin G and ami-noglycosides) is usually required. In this report, we present a case of A. urinae infection with an isolated and uncommon neurological presentation. Further workup revealed evidence of systemic and cerebral embolism, bacteremia and infective endocarditis. Our patient was successfully managed with a single antibiotic regimen (penicillin G) and made a successful clinical recovery, suggesting that the prognosis of A. urinae infective endocarditis is not universally poor if the infection is recognised early and treatment with penicillin G is initiated promptly.

机译：尿气球菌是一种泌尿道结肠炎菌，已知是老年男性感染性心内膜炎的病原体，尽管进行了适当的抗生素治疗和手术干预，但其病死率较高。通常需要使用联合抗生素（青霉素G和氨基糖苷）进行积极的治疗。在本报告中，我们报告了一例尿链球菌感染，并伴有孤立和罕见的神经表现。进一步检查发现有全身和脑栓塞、菌血症和感染性心内膜炎的证据。我们的患者成功地接受了单一抗生素方案（青霉素G）治疗，并取得了成功的临床康复，这表明，如果及早发现感染并及时开始青霉素G治疗，a.尿感染性心内膜炎的预后并不普遍较差。

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来源
《The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques》 |2020年第5期|共3页
作者
Kaie Rosborough; Bryce A. Durafourt; Winnie Chan; Peggy DeJong; Ramana Appireddy;
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作者单位

Division of Neurology Department of Medicine Queen's University Kingston Ontario Canada;

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原文格式 PDF
正文语种 eng
中图分类神经病学与精神病学;
关键词
Aerococcus urinae; Infective endocarditis; Stroke; Penicillin G;

机译：航空球菌;感染性心内膜炎;中风;青霉素G;

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Aerococcus Urinae Endocarditis Presenting with Bilateral Cerebellar Infarcts

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