Haemophilus parainfluenzae prosthetic valve endocarditis complicated by septic emboli to brain

Jackson J. Liang, P. L. Swiecicki, A. M. Killu, M. R. Sohail

Research output: Contribution to journalArticle

Abstract

A 51-year-old man with a history of injection drug use presented to the emergency roomwith fevers, chills and headaches. Five months earlier, he had undergone bioprosthetic aortic valve replacement for infective endocarditis owing to Corynebacterium auricumosum involving a bicuspid aortic valve. Blood cultures obtained during current hospitalisation grew Haemophilus parainfluenzae and patient underwent a transesophageal echocardiogram that revealed a large mitral valve vegetation. Owing to persistent headache and right lower extremity weakness, MRI of the brain was performed which demonstrated multifocal, acute infarctions secondary to septic embolisation. He was initiated on parenteral antibiotics and experienced no further neurological setbacks. After 2 weeks of antibiotic therapy, he underwent bioprosthetic aortic and mitral valve replacement, aortic root debridement and replacement, and reconstruction of the intravalvular fibrosa without complication. He was discharged to a skilled nursing facility to complete six more weeks of intravenous ceftriaxone.

Original languageEnglish (US)
JournalBMJ Case Reports
DOIs
StatePublished - Jun 3 2013

Fingerprint

Haemophilus parainfluenzae
Intracranial Embolism
Endocarditis
Aortic Valve
Mitral Valve
Headache
Skilled Nursing Facilities
Anti-Bacterial Agents
Corynebacterium
Chills
Ceftriaxone
Debridement
Infarction
Lower Extremity
Hospitalization
Emergencies
Fever
Injections
Brain
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Haemophilus parainfluenzae prosthetic valve endocarditis complicated by septic emboli to brain. / Liang, Jackson J.; Swiecicki, P. L.; Killu, A. M.; Sohail, M. R.

In: BMJ Case Reports, 03.06.2013.

Research output: Contribution to journalArticle

Liang, Jackson J. ; Swiecicki, P. L. ; Killu, A. M. ; Sohail, M. R. / Haemophilus parainfluenzae prosthetic valve endocarditis complicated by septic emboli to brain. In: BMJ Case Reports. 2013.
@article{8e6082dd444b47058acab30b7e616c76,
title = "Haemophilus parainfluenzae prosthetic valve endocarditis complicated by septic emboli to brain",
abstract = "A 51-year-old man with a history of injection drug use presented to the emergency roomwith fevers, chills and headaches. Five months earlier, he had undergone bioprosthetic aortic valve replacement for infective endocarditis owing to Corynebacterium auricumosum involving a bicuspid aortic valve. Blood cultures obtained during current hospitalisation grew Haemophilus parainfluenzae and patient underwent a transesophageal echocardiogram that revealed a large mitral valve vegetation. Owing to persistent headache and right lower extremity weakness, MRI of the brain was performed which demonstrated multifocal, acute infarctions secondary to septic embolisation. He was initiated on parenteral antibiotics and experienced no further neurological setbacks. After 2 weeks of antibiotic therapy, he underwent bioprosthetic aortic and mitral valve replacement, aortic root debridement and replacement, and reconstruction of the intravalvular fibrosa without complication. He was discharged to a skilled nursing facility to complete six more weeks of intravenous ceftriaxone.",
author = "Liang, {Jackson J.} and Swiecicki, {P. L.} and Killu, {A. M.} and Sohail, {M. R.}",
year = "2013",
month = "6",
day = "3",
doi = "10.1136/bcr-2013-009744",
language = "English (US)",
journal = "BMJ Case Reports",
issn = "1757-790X",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Haemophilus parainfluenzae prosthetic valve endocarditis complicated by septic emboli to brain

AU - Liang, Jackson J.

AU - Swiecicki, P. L.

AU - Killu, A. M.

AU - Sohail, M. R.

PY - 2013/6/3

Y1 - 2013/6/3

N2 - A 51-year-old man with a history of injection drug use presented to the emergency roomwith fevers, chills and headaches. Five months earlier, he had undergone bioprosthetic aortic valve replacement for infective endocarditis owing to Corynebacterium auricumosum involving a bicuspid aortic valve. Blood cultures obtained during current hospitalisation grew Haemophilus parainfluenzae and patient underwent a transesophageal echocardiogram that revealed a large mitral valve vegetation. Owing to persistent headache and right lower extremity weakness, MRI of the brain was performed which demonstrated multifocal, acute infarctions secondary to septic embolisation. He was initiated on parenteral antibiotics and experienced no further neurological setbacks. After 2 weeks of antibiotic therapy, he underwent bioprosthetic aortic and mitral valve replacement, aortic root debridement and replacement, and reconstruction of the intravalvular fibrosa without complication. He was discharged to a skilled nursing facility to complete six more weeks of intravenous ceftriaxone.

AB - A 51-year-old man with a history of injection drug use presented to the emergency roomwith fevers, chills and headaches. Five months earlier, he had undergone bioprosthetic aortic valve replacement for infective endocarditis owing to Corynebacterium auricumosum involving a bicuspid aortic valve. Blood cultures obtained during current hospitalisation grew Haemophilus parainfluenzae and patient underwent a transesophageal echocardiogram that revealed a large mitral valve vegetation. Owing to persistent headache and right lower extremity weakness, MRI of the brain was performed which demonstrated multifocal, acute infarctions secondary to septic embolisation. He was initiated on parenteral antibiotics and experienced no further neurological setbacks. After 2 weeks of antibiotic therapy, he underwent bioprosthetic aortic and mitral valve replacement, aortic root debridement and replacement, and reconstruction of the intravalvular fibrosa without complication. He was discharged to a skilled nursing facility to complete six more weeks of intravenous ceftriaxone.

UR - http://www.scopus.com/inward/record.url?scp=84879860970&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84879860970&partnerID=8YFLogxK

U2 - 10.1136/bcr-2013-009744

DO - 10.1136/bcr-2013-009744

M3 - Article

AN - SCOPUS:84879860970

JO - BMJ Case Reports

JF - BMJ Case Reports

SN - 1757-790X

ER -