<i>Aerococcus urinae</i>: A Rare Cause of Endocarditis Presenting With Acute Stroke

Ahmed, Yasir; Bardia, Nikky; Judge, Caleb; Ahmad, Sajjad; Malozzi, Christopher; Calderon, Eduardo

doi:10.14740/jmc3612

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…Urinary infections caused by Aerococcus spp. are often mild; however, the clinical significance of this genus is gradually increasing due to the risk of dissemination and complications [44] such as bacteremia and endocarditis [45]. The most frequent risk factors are higher age and the presence of urological disorders [46], and a statistically significant association was observed with the male sex and higher age (median of 77 yrs) in the present series.…”

Section: Discussionmentioning

confidence: 45%

Presence and Relevance of Emerging Microorganisms in Clinical Genitourinary Samples

et al. 2023

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Microorganisms responsible for genitourinary infections increasingly include species other than conventional etiological agents that are of clinical and pathogenic relevance and therapeutic interest. This cross-sectional descriptive study selected samples from clinical genitourinary episodes between January 2016 and December 2019 in which emerging microbiological agents were detected. The patients’ epidemiological characteristics, clinical presentation, antibiotic treatment, and outcome were studied to identify their pathogenic role. The emerging microorganisms most frequently detected in urinary tract infections were Streptococcus bovis (58.5%) and Gardnerella spp. (23.6%) in females and S. bovis (32.3%), Aerococcus urinae (18.6%), and Corynebacterium spp. (16.9%) in males, while the most frequently detected in genital infections were S. viridans (36.4%) in females and C. glucuronolyticum (32.2%) and Gardnerella spp. (35.6%) in males. All cases in female children were produced by S. bovis. Symptomatic episodes were more frequent with Aerococcus spp. and S. bovis and the presence of leukocytosis more frequent with Aerococcus spp. Quinolones and doxycycline were most often prescribed antibiotics for genital infections and quinolones and amoxicillin-clavulanic acid for urinary infections. Urinary infection by Aerococcus spp. was more frequent in males of advanced age, Corynebacterium spp. was more frequent in permanent vesical catheter carriers, and episodes of asymptomatic bacteriuria by Gardnerella spp. were more frequent in patients with kidney transplant and chronic consumers of corticosteroid therapy. Lactobacillus spp. should be considered in urinary infections of patients of advanced age and with a previous antibiotic load. Genital infection by Gardnerella spp. was significantly associated with a history of risky sexual relations.

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Section: Discussionmentioning

confidence: 45%

Presence and Relevance of Emerging Microorganisms in Clinical Genitourinary Samples

et al. 2023

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“…Therefore, the severe response of patients in this study was reduced. The decrease of vasoconstrictive substance concentration suggests the possible mechanism of TCM combined therapy[ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Qixue Shuangbu decoction and acupuncture combined with Western medicine in acute severe stroke patients

Gou¹,

Li²

2023

World J Clin Cases

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BACKGROUND Stroke is a common and frequently occurring disease of the nervous system and one of the three major diseases leading to human death. The incidence and mortality of stroke in China increase with age. Overall, 70 % of patients with stroke have serious disability, which results in heavy burden to their families and the society. AIM To analyze the effects of Qixue Shuangbu decoction and acupuncture combined with Western medicine on immune indexes and digestive tract function in patients with acute severe stroke. METHODS A total of 68 patients with acute severe stroke admitted to Lanzhou Second People’s Hospital between March 2018 and September 2021 were selected and divided into the control and observation groups according to a random number table method. The control group was administered routine Western medicine treatment, such as dehydration, lowering intracranial pressure, anticoagulation, improving cerebral blood circulation and cerebral nerve protection according to the “Guidelines for the Diagnosis and Treatment of Acute Ischemic Stroke in China.” The observation group was administered Qixue Shuangbu decoction via nasal feeding tube on the basis of the routine Western medicine treatment with simultaneous acupuncture. The two groups were compared. RESULTS The acute physiology and chronic health evaluation II, organ dysfunction syndrome score, National Institutes of Health Stroke Scale, and traditional Chinese medicine syndrome scores of the two groups were significantly decreased compared with those measured before treatment, and the complements C3 and C4, and immunoglobulins (Ig) M and G were significantly increased compared with those observed before treatment ( P < 0.05). After treatment, the scores of the observation group were lower than those of the control group, and the complement and Ig levels were higher than those of the control group ( P < 0.05). The levels of diamine oxidase (DAO), D-lactic acid (D-LA), and calcitonin gene-related peptide (CGRP) in the two groups were significantly higher than those before treatment, while the levels of lipopolysaccharide, ubiquitin carboxyl-terminal hydrolase 1 (UCH-L1), tumor necrosis factor-α (TNF-α), interleukin (IL) -2, and IL-8 were significantly lower than those before treatment ( P < 0.05). After treatment, DAO, D-LA, and CGRP were higher in the observation group than in the control group, while lipopolysaccharide, UCH-L1, TNF-α, IL-2, and IL-8 were lower than in the control group ( P < 0.05). The hospitalization time of individuals in the observation group was shorter than that of the control group ( P < 0.05). CONCLUSION Qixue Shuangbu decoction and acupuncture combined with Western medicine for the treatment of acute severe stroke can regulate intestina...

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“…Among the antibiotic regimens used, the most common treatment course involved approximately 72% of the 50 cases receiving beta-lactam therapy with an aminoglycoside for an average duration of approximately six weeks, which resulted in approximately 78% of patients treated in this manner surviving. AG: aminoglycoside, Van: vancomycin, BPH: benign prostatic hyperplasia, ASD: atrial septal defect, TURP: trans-urethral resection of the prostate Data from: (Ludhwani, 2020) [3], (Yabes, 2018) [12], (Tai, 2021) [14], (Feghaly, 2022) [16], (Lattanzio, 2020) [17], (Bathania, 2019) [18], (Rosborough, 2020) [19], (Martín-Guerra, 2020) [20], (Ahmed, 2021) [21], (Varughese, 2021) [22], (Khan, 2021) [23]…”

Section: Discussionmentioning

confidence: 99%

Aerococcus Urinae Endocarditis: A Case Report and Literature Review

Al-Asad¹,

Mazhar²,

Srivastava³

et al. 2022

Cureus

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A 75-year-old male, with a past medical history of chronic kidney disease stage 3 (CKD3) and a recent diagnosis of bilateral hydronephrosis and Foley catheter placement, presented to the emergency department for fever. Blood cultures grew Aerococcus urinae. Transthoracic echo (TTE) demonstrated thickened aortic valve leaflets with perforation, multiple echo densities, and severe aortic regurgitation. The patient developed decompensated congestive heart failure and cardiogenic shock. En route to surgery for emergent aortic valve replacement, the patient lost pulse and was resuscitated. The patient was subsequently transferred to the ICU where the family decided to initiate comfort care measures. This case highlights the importance and necessity of the prompt diagnosis and treatment of infective endocarditis and makes the reader aware of uncommon and rare organisms, such as Aerococcus urinae, as potential etiologies.

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Aerococcus urinae: A Rare Cause of Endocarditis Presenting With Acute Stroke

Cited by 7 publications

References 31 publications

Presence and Relevance of Emerging Microorganisms in Clinical Genitourinary Samples

Presence and Relevance of Emerging Microorganisms in Clinical Genitourinary Samples

Qixue Shuangbu decoction and acupuncture combined with Western medicine in acute severe stroke patients

Aerococcus Urinae Endocarditis: A Case Report and Literature Review

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