Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature Review

Aerococcus urinae (AU) is a rare pathogen, identified as gram-positive, catalase-negative coccus that grows in pairs and clusters which has been reported to mainly cause urinary tract infections (UTI), especially in elderly males. Treatment for this microorganism is usually with beta-lactams althoug...

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Main Authors: Fernando Figueroa Rodriguez, Antonio Faieta Lasarcina, Francisco Davila Grijalva
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/5496851
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author Fernando Figueroa Rodriguez
Antonio Faieta Lasarcina
Francisco Davila Grijalva
author_facet Fernando Figueroa Rodriguez
Antonio Faieta Lasarcina
Francisco Davila Grijalva
author_sort Fernando Figueroa Rodriguez
collection DOAJ
description Aerococcus urinae (AU) is a rare pathogen, identified as gram-positive, catalase-negative coccus that grows in pairs and clusters which has been reported to mainly cause urinary tract infections (UTI), especially in elderly males. Treatment for this microorganism is usually with beta-lactams although cultures with antibiotic susceptibility testing are imperative. We present a case of AU endocarditis initially treated with IV antibiotics; nevertheless, the patient required emergent mitral valve replacement due to severe mitral insufficiency and perforation. We also present an analysis with high-yield points summarizing epidemiology, risk factors, microbiology, clinical features, diagnostic workup, and management of AU in general and AU endocarditis. Finally, we post a literature review of relevant cases and the impact of different variables associated with it.
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institution Kabale University
issn 2090-6404
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language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-44785222317a49c3a4ff9a32e14cd2b22025-08-20T03:36:03ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/54968515496851Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature ReviewFernando Figueroa Rodriguez0Antonio Faieta Lasarcina1Francisco Davila Grijalva2Oakland University Beaumont Hospital, West 13 Mile Road, Royal Oak, MI 48073, USAOakland University Beaumont Hospital, West 13 Mile Road, Royal Oak, MI 48073, USAOakland University Beaumont Hospital, West 13 Mile Road, Royal Oak, MI 48073, USAAerococcus urinae (AU) is a rare pathogen, identified as gram-positive, catalase-negative coccus that grows in pairs and clusters which has been reported to mainly cause urinary tract infections (UTI), especially in elderly males. Treatment for this microorganism is usually with beta-lactams although cultures with antibiotic susceptibility testing are imperative. We present a case of AU endocarditis initially treated with IV antibiotics; nevertheless, the patient required emergent mitral valve replacement due to severe mitral insufficiency and perforation. We also present an analysis with high-yield points summarizing epidemiology, risk factors, microbiology, clinical features, diagnostic workup, and management of AU in general and AU endocarditis. Finally, we post a literature review of relevant cases and the impact of different variables associated with it.http://dx.doi.org/10.1155/2019/5496851
spellingShingle Fernando Figueroa Rodriguez
Antonio Faieta Lasarcina
Francisco Davila Grijalva
Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature Review
Case Reports in Cardiology
title Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature Review
title_full Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature Review
title_fullStr Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature Review
title_full_unstemmed Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature Review
title_short Mitral Valve Endocarditis with Perforation from a Urinary Source: An Unusual Case and Literature Review
title_sort mitral valve endocarditis with perforation from a urinary source an unusual case and literature review
url http://dx.doi.org/10.1155/2019/5496851
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AT franciscodavilagrijalva mitralvalveendocarditiswithperforationfromaurinarysourceanunusualcaseandliteraturereview