Aeromonas hydrophila has been infrequently reported as a cause of infection in humans. It has been associated with a variety of clinical syndromes but Aeromonas-related endocarditis is extremely rare. We present the case of a 76- year-old diabetic patient who was admitted to our hospital due to severe lumbar pain resistant to nonsteroidal anti-inflammatory drugs accompanied by fever (up to 38.5°C). The vital signs were normal and the physical examination was unremarkable except for tenderness over right flank. Laboratory investigation showed a mild leukocytosis (white blood cell count of 11,360×106/L) with elevation of inflammatory markers. Cardiac ultrasound showed a large vegetation on the mitral valve. Abdominal computed tomogrpahy revealed a ruptured aneurysm of the right renal artery. Multiple sets of blood culture grew A. hydrophila.
Aeromonas hydrophila endocarditis with ruptured mycotic aneurysm of right renal artery / Pugliese, MARIA ELENA; Falcone, M.; Oliva, A.; Faccenna, F.; D'Aluisio, D.; Morelli, S.. - In: INFECTIOUS DISEASE REPORTS. - ISSN 2036-7430. - 8:3(2016), pp. 71-73. [10.4081/idr.2016.6515]
Aeromonas hydrophila endocarditis with ruptured mycotic aneurysm of right renal artery
PUGLIESE, MARIA ELENA;Oliva A.;Faccenna F.;D'Aluisio D.;Morelli S.
2016
Abstract
Aeromonas hydrophila has been infrequently reported as a cause of infection in humans. It has been associated with a variety of clinical syndromes but Aeromonas-related endocarditis is extremely rare. We present the case of a 76- year-old diabetic patient who was admitted to our hospital due to severe lumbar pain resistant to nonsteroidal anti-inflammatory drugs accompanied by fever (up to 38.5°C). The vital signs were normal and the physical examination was unremarkable except for tenderness over right flank. Laboratory investigation showed a mild leukocytosis (white blood cell count of 11,360×106/L) with elevation of inflammatory markers. Cardiac ultrasound showed a large vegetation on the mitral valve. Abdominal computed tomogrpahy revealed a ruptured aneurysm of the right renal artery. Multiple sets of blood culture grew A. hydrophila.File | Dimensione | Formato | |
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