<em>Enterococcus faecalis</em> endocarditis presenting as meningitis
Infective endocarditis is a disease with variable presentations and multi-systemic manifestations. It is associated with life-threatening neurological complications including stroke, meningitis, seizures and cerebral and spinal abscesses which arise due to systemic septic embolisation from the infe...
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| Format: | Article |
| Language: | English |
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Sri Lanka College of Internal Medicine
2025-08-01
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| Series: | Asian Journal of Internal Medicine |
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| Online Access: | https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/277 |
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| author | S. I. Nawaz S. C. Weerasinghe U. Ralapanawa S. Abeyagunawardena W. A. T. A. Jayalath |
| author_facet | S. I. Nawaz S. C. Weerasinghe U. Ralapanawa S. Abeyagunawardena W. A. T. A. Jayalath |
| author_sort | S. I. Nawaz |
| collection | DOAJ |
| description |
Infective endocarditis is a disease with variable presentations and multi-systemic manifestations. It is associated with life-threatening neurological complications including stroke, meningitis, seizures and cerebral and spinal abscesses which arise due to systemic septic embolisation from the infected heart valves. Neurological complications may be the initial presentation of infective endocarditis. We report a case of a patient who presented with fever, confusion and a cardiac murmur following recent orthopaedic surgery of the hand. Although meningitis was the initial working diagnosis, positive blood cultures, echocardiogram and neuroimaging aided the final diagnosis of Enterococcus faecalis positive infective endocarditis complicated with meningitis and a haemorrhagic cerebral infarct. He was successfully treated with intravenous antibiotics.
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| format | Article |
| id | doaj-art-a9917c3cbd3144cc8ce3cb9f7afba31b |
| institution | DOAJ |
| issn | 2827-7260 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Sri Lanka College of Internal Medicine |
| record_format | Article |
| series | Asian Journal of Internal Medicine |
| spelling | doaj-art-a9917c3cbd3144cc8ce3cb9f7afba31b2025-08-20T03:03:38ZengSri Lanka College of Internal MedicineAsian Journal of Internal Medicine2827-72602025-08-014210.4038/ajim.v4i2.277<em>Enterococcus faecalis</em> endocarditis presenting as meningitisS. I. Nawaz0S. C. Weerasinghe1U. Ralapanawa2S. Abeyagunawardena3W. A. T. A. Jayalath4National Hospital KandyTeaching Hospital PeradeniyaTeaching Hospital Peradeniya Teaching Hospital Peradeniya Teaching Hospital Peradeniya Infective endocarditis is a disease with variable presentations and multi-systemic manifestations. It is associated with life-threatening neurological complications including stroke, meningitis, seizures and cerebral and spinal abscesses which arise due to systemic septic embolisation from the infected heart valves. Neurological complications may be the initial presentation of infective endocarditis. We report a case of a patient who presented with fever, confusion and a cardiac murmur following recent orthopaedic surgery of the hand. Although meningitis was the initial working diagnosis, positive blood cultures, echocardiogram and neuroimaging aided the final diagnosis of Enterococcus faecalis positive infective endocarditis complicated with meningitis and a haemorrhagic cerebral infarct. He was successfully treated with intravenous antibiotics. https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/277Infective endocarditisEnterococcus faecalisMeningitis |
| spellingShingle | S. I. Nawaz S. C. Weerasinghe U. Ralapanawa S. Abeyagunawardena W. A. T. A. Jayalath <em>Enterococcus faecalis</em> endocarditis presenting as meningitis Asian Journal of Internal Medicine Infective endocarditis Enterococcus faecalis Meningitis |
| title | <em>Enterococcus faecalis</em> endocarditis presenting as meningitis |
| title_full | <em>Enterococcus faecalis</em> endocarditis presenting as meningitis |
| title_fullStr | <em>Enterococcus faecalis</em> endocarditis presenting as meningitis |
| title_full_unstemmed | <em>Enterococcus faecalis</em> endocarditis presenting as meningitis |
| title_short | <em>Enterococcus faecalis</em> endocarditis presenting as meningitis |
| title_sort | em enterococcus faecalis em endocarditis presenting as meningitis |
| topic | Infective endocarditis Enterococcus faecalis Meningitis |
| url | https://account.ajim.sljol.info/index.php/sljo-j-ajim/article/view/277 |
| work_keys_str_mv | AT sinawaz ementerococcusfaecalisemendocarditispresentingasmeningitis AT scweerasinghe ementerococcusfaecalisemendocarditispresentingasmeningitis AT uralapanawa ementerococcusfaecalisemendocarditispresentingasmeningitis AT sabeyagunawardena ementerococcusfaecalisemendocarditispresentingasmeningitis AT watajayalath ementerococcusfaecalisemendocarditispresentingasmeningitis |