Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related Glomerulonephritis

We present a case of a 69-year-old male with a past medical history of prostate cancer, chronic mitral valve regurgitation, and recent dental cleaning who presented to the hospital with shortness of breath, anemia, and acute renal failure. Due to unexplained creatinine rise, a renal biopsy was obtai...

Full description

Saved in:
Bibliographic Details
Main Authors: Kevin Dao, Pooja Patel, Kunjan Udani, Erin Pollock, Maryam Gondal
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2022/5565906
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849413299978895360
author Kevin Dao
Pooja Patel
Kunjan Udani
Erin Pollock
Maryam Gondal
author_facet Kevin Dao
Pooja Patel
Kunjan Udani
Erin Pollock
Maryam Gondal
author_sort Kevin Dao
collection DOAJ
description We present a case of a 69-year-old male with a past medical history of prostate cancer, chronic mitral valve regurgitation, and recent dental cleaning who presented to the hospital with shortness of breath, anemia, and acute renal failure. Due to unexplained creatinine rise, a renal biopsy was obtained which was suspicious for infection-related glomerulonephritis (IRGN). Further workup confirmed subacute endocarditis according to modified Duke’s criteria. The patient’s blood culture became positive for Granulicatella adiacens, a nutritionally variant streptococcus. The patient later developed acute respiratory failure from diffuse alveolar hemorrhage (DAH). Subacute infective endocarditis can result in serious morbidity and mortality due to its insidious symptoms and subsequent fatal complications.
format Article
id doaj-art-6cb74865239040e6bee44383bb7d7a3d
institution Kabale University
issn 2090-6633
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Case Reports in Infectious Diseases
spelling doaj-art-6cb74865239040e6bee44383bb7d7a3d2025-08-20T03:34:09ZengWileyCase Reports in Infectious Diseases2090-66332022-01-01202210.1155/2022/5565906Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related GlomerulonephritisKevin Dao0Pooja Patel1Kunjan Udani2Erin Pollock3Maryam Gondal4Department of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of Internal MedicineDepartment of NephrologyWe present a case of a 69-year-old male with a past medical history of prostate cancer, chronic mitral valve regurgitation, and recent dental cleaning who presented to the hospital with shortness of breath, anemia, and acute renal failure. Due to unexplained creatinine rise, a renal biopsy was obtained which was suspicious for infection-related glomerulonephritis (IRGN). Further workup confirmed subacute endocarditis according to modified Duke’s criteria. The patient’s blood culture became positive for Granulicatella adiacens, a nutritionally variant streptococcus. The patient later developed acute respiratory failure from diffuse alveolar hemorrhage (DAH). Subacute infective endocarditis can result in serious morbidity and mortality due to its insidious symptoms and subsequent fatal complications.http://dx.doi.org/10.1155/2022/5565906
spellingShingle Kevin Dao
Pooja Patel
Kunjan Udani
Erin Pollock
Maryam Gondal
Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related Glomerulonephritis
Case Reports in Infectious Diseases
title Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related Glomerulonephritis
title_full Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related Glomerulonephritis
title_fullStr Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related Glomerulonephritis
title_full_unstemmed Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related Glomerulonephritis
title_short Granulicatella adiacens Subacute Bacterial Endocarditis Presenting as Diffuse Alveolar Hemorrhage and Infection-Related Glomerulonephritis
title_sort granulicatella adiacens subacute bacterial endocarditis presenting as diffuse alveolar hemorrhage and infection related glomerulonephritis
url http://dx.doi.org/10.1155/2022/5565906
work_keys_str_mv AT kevindao granulicatellaadiacenssubacutebacterialendocarditispresentingasdiffusealveolarhemorrhageandinfectionrelatedglomerulonephritis
AT poojapatel granulicatellaadiacenssubacutebacterialendocarditispresentingasdiffusealveolarhemorrhageandinfectionrelatedglomerulonephritis
AT kunjanudani granulicatellaadiacenssubacutebacterialendocarditispresentingasdiffusealveolarhemorrhageandinfectionrelatedglomerulonephritis
AT erinpollock granulicatellaadiacenssubacutebacterialendocarditispresentingasdiffusealveolarhemorrhageandinfectionrelatedglomerulonephritis
AT maryamgondal granulicatellaadiacenssubacutebacterialendocarditispresentingasdiffusealveolarhemorrhageandinfectionrelatedglomerulonephritis