Lactobacillus garvieae endocarditis presenting with leg cramps

Lactobacillus garvieae endocarditis presenting with leg cramps

An 85-year-old man with a history of aortic valve replacement presented with lower limb cramps. He was initially diagnosed with degenerative disc disease, but was found to have Lactococcus garvieae infective endocarditis with septic embolic strokes causing a central poststroke pain syndrome. Cardiot...

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Bibliographic Details
Main Authors: Seok Mei Lim, Beatrix Wong, Gail Brenda Cross, Reshma Merchant
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:IDCases
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250918300945
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spelling doaj-71ceb91068c345b48a949e8fa0b482952021-07-02T06:56:20ZengElsevierIDCases2214-25092018-01-0113Lactobacillus garvieae endocarditis presenting with leg crampsSeok Mei Lim0Beatrix Wong1Gail Brenda Cross2Reshma Merchant3Internal Medicine Resident, National University Hospital, 5 Lower Kent Ridge Road, 119074, Singapore; Corresponding author.Department of Geriatric Medicine, National University Hospital, Singapore, 5 Lower Kent Ridge Road, 119074, SingaporeDepartment of Infectious Diseases, National University Hospital, Singapore, 5 Lower Kent Ridge Road, 119074, SingaporeDepartment of Geriatric Medicine, National University Hospital, Singapore, 5 Lower Kent Ridge Road, 119074, SingaporeAn 85-year-old man with a history of aortic valve replacement presented with lower limb cramps. He was initially diagnosed with degenerative disc disease, but was found to have Lactococcus garvieae infective endocarditis with septic embolic strokes causing a central poststroke pain syndrome. Cardiothoracic surgery was deemed too high risk and the patient completed 6 weeks of intravenous antimicrobials as well as prolonged inpatient rehabilitation. Lactococcus garvieae is an aquaculture pathogen which typically affects elderly and immunocompromised patients. Atypical presentations of endocarditis in the elderly can lead to delays in diagnosis. Keywords: Lactococcus garvieae, Infective endocarditis, Atypical presentation in elderlyhttp://www.sciencedirect.com/science/article/pii/S2214250918300945
collection DOAJ
language English
format Article
sources DOAJ
author Seok Mei Lim
Beatrix Wong
Gail Brenda Cross
Reshma Merchant
spellingShingle Seok Mei Lim
Beatrix Wong
Gail Brenda Cross
Reshma Merchant
Lactobacillus garvieae endocarditis presenting with leg cramps
IDCases
author_facet Seok Mei Lim
Beatrix Wong
Gail Brenda Cross
Reshma Merchant
author_sort Seok Mei Lim
title Lactobacillus garvieae endocarditis presenting with leg cramps
title_short Lactobacillus garvieae endocarditis presenting with leg cramps
title_full Lactobacillus garvieae endocarditis presenting with leg cramps
title_fullStr Lactobacillus garvieae endocarditis presenting with leg cramps
title_full_unstemmed Lactobacillus garvieae endocarditis presenting with leg cramps
title_sort lactobacillus garvieae endocarditis presenting with leg cramps
publisher Elsevier
series IDCases
issn 2214-2509
publishDate 2018-01-01
description An 85-year-old man with a history of aortic valve replacement presented with lower limb cramps. He was initially diagnosed with degenerative disc disease, but was found to have Lactococcus garvieae infective endocarditis with septic embolic strokes causing a central poststroke pain syndrome. Cardiothoracic surgery was deemed too high risk and the patient completed 6 weeks of intravenous antimicrobials as well as prolonged inpatient rehabilitation. Lactococcus garvieae is an aquaculture pathogen which typically affects elderly and immunocompromised patients. Atypical presentations of endocarditis in the elderly can lead to delays in diagnosis. Keywords: Lactococcus garvieae, Infective endocarditis, Atypical presentation in elderly
url http://www.sciencedirect.com/science/article/pii/S2214250918300945
work_keys_str_mv AT seokmeilim lactobacillusgarvieaeendocarditispresentingwithlegcramps
AT beatrixwong lactobacillusgarvieaeendocarditispresentingwithlegcramps
AT gailbrendacross lactobacillusgarvieaeendocarditispresentingwithlegcramps
AT reshmamerchant lactobacillusgarvieaeendocarditispresentingwithlegcramps
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