A rare case of aerococcus urinae infective endocarditis. Issue 2 (3rd April 2017)

• Record Type: Journal Article
• Authors: Tathireddy, Harsha; Settypalli, Sahitya; Farrell, John J
• Is Part Of: Journal of community hospital internal medicine perspectives. Volume 7:Issue 2(2017)
• Page Start: 126
• Page End: 129
• Publication Date: 2017-04-03
• Subjects: Aerococcus urinae -- Aerococcus -- bacteremia -- infective endocarditis; Internal medicine -- Periodicals; Hospitals -- Periodicals; Hospitals, Community; Internal Medicine; Hospitals; Internal medicine; Periodicals; Periodicals; 610
• DOI: 10.1080/20009666.2017.1314072
• Languages: English
• ISSNs: 2000-9666

Abstract

ABSTRACT: Introduction: Aerococcus urinae is a rare cause of infective endocarditis. Aerococcus is a gram positive cocci that is easily misidentified as Staphylococci or Streptococci. The true incidence rate of this pathogen is likely underestimated. Recent advances in laboratory diagnostic methods with matrix-associated laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF-MS) have lead to increased recognition of this pathogen in the clinical microbiology lab, and awareness as a cause of infective endocarditis in the infectious disease community. Case reports: Aerococcus usually affects males with underlying urinary tract conditions. Herein, we report a case of prosthetic aortic valve endocarditis caused by Aerococcus urinae . Discussion: Our patient was considered high risk for cardiac surgery and was treated successfully with intravenous antibiotics alone for six weeks. Conclusion: Infective endocarditis should be considered in all cases of Aerococcus bacteremia and appropriate diagnostic evaluations pursued. Abbreviations: AV: Aortic valve; IE: Infective endocarditis