Infective endocarditis and spondylodiscitis in a patient due to Aerococcus urinae: First report

Tekin, Abdullah; Tekin, Göknur; Turunc, Tugba; Demiroglu, Ziya; Kızılkılıç, Osman

doi:10.1016/j.ijcard.2006.01.046

Cited by 23 publications

(8 citation statements)

References 7 publications

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“… Age (yrs) Sex Risk Factors Valve Surgery (y/n) Antibiotic Regimen Duration Survived(y/n) Ref No. 1 69 M Cystoscopy Av N β Lactam/AG 6wks Y [ 13 ] 2 54 M Phimosis Mv Y β Lactam 6wks Y [ 32 ] 3 43 M Hepatitis C Av N β Lactam/AG 5 days N [ 19 ] 4 68 M Indwelling Catheter Av Y β Lactam/AG 6/2wks Y [ 29 ] 5 80 M Malignancy Av Y β Lactam 6wks Y [ 33 ] 6 77 M BPH Av N β Lactam/Van – N [ 10 ] 7 68 M BPH Mv N β Lactam/AG; oral regimen 3wks; unknown Y [ 14 ] 8 75 M Cystoscopy Av Y β Lactam/AG 6wks Y [ ...…”

Section: Discussionmentioning

confidence: 99%

“…Treatment regimens for A. urinae IE have largely relied on beta-lactams with or without synergistic aminoglycoside usage. However, this appears in large part to be done empirically with broad-spectrum regimens narrowed after local laboratory susceptibility testing was completed [ 5 , 9 , 10 , 12 – 14 , 16 , 19 , 25 – 27 ]. In vitro studies regarding the antibiotic susceptibilities of A. urinae isolates have shown susceptible MIC’s to most beta-lactams employed in IE.…”

Section: Discussionmentioning

confidence: 99%

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A rare case of Aerococcus urinae infective endocarditis in an atypically young male: case report and review of the literature

et al. 2018

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BackgroundAerococcus urinae is a gram-positive, alpha-hemolytic coccus bacterium primarily implicated in less than 1 % of all symptomatic urinary tract infections. Risk factors for disease include male gender, advanced age, and comorbid genitourinary tract pathology. Infections beyond the genitourinary tract are rare, though spondylodiscitis, perineal abscesses, lymphadenitis, bacteremia, meningitis, and endocarditis have been reported. Less than fifty cases of A. urinae infective endocarditis (IE) have been described in the literature. The rare occurrence of A. urinae in human infections and resultant lack of randomized controlled trials have resulted in a significant degree of clinical uncertainty in the management of A. urinae IE.Case presentationWe present an unusual case of a forty-three year-old male with A. urinae infective endocarditis (IE) who was successfully treated with mitral valve replacement and six weeks of penicillin/gentamicin therapy. In addition, we include a comprehensive review of all reported cases of IE due to A. urinae with specific attention to therapeutic regimens and treatment durations.ConclusionRecent advances in diagnostic technology have led to an increase in the frequency A. urinae is diagnosed. Reviewing cases of Aerococcus urinae infections, their clinical courses and subsequent management can assist future healthcare providers and their patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare case of Aerococcus urinae infective endocarditis in an atypically young male: case report and review of the literature

et al. 2018

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“…[11][12][13][14][15] Most cases of A. urinae UTI described in the literature have occurred in elderly patients with underlying illnesses, such as diabetes, heart disease, or urologic conditions. 8,9 Sierra-Hoffman et al 8 conducted a retrospective study of all urinary isolates of A. urinae recovered during a 1-year period.…”

Section: Discussionmentioning

confidence: 99%

Ongoing Control of Haemophilus influenzae Type B Infections in Canadian Children, 2004–2007

Scheifele

Bettinger²,

Halperin³

et al. 2008

Pediatric Infectious Disease Journal

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The uniform use in Canada of a single Haemophilus influenzae type b conjugate vaccine in combination with diphtheria, tetanus, acellular pertussis, and inactivated poliovirus vaccines (DTaP.IPV/Hib) facilitates ongoing assessment of vaccine effectiveness, including any effects of recently added concurrent vaccinations and increasing time since vaccination. Surveillance at 12 pediatric centers in 2004-2007 indicates that vaccine failures remain rare and case totals approach an irreducible minimum, with no age shift.

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“…A. viridans rarely causes disease in humans; previous cases include bacteraemia (Uh et al, 2002;Popescu et al, 2005), septic arthritis (Taylor & Trueblood, 1985) and infective endocarditis (Popescu et al, 2005), usually in association with immunosuppression or the presence of previously damaged tissue. Spondylodiscitis has been associated with Aerococcus urinae (Astudillo et al, 2003;Tekin et al, 2006), a related species of Aerococcus. To date, no case of discitis with A. viridans has been described to our knowledge.…”

Section: Discussionmentioning

confidence: 99%

Spondylodiscitis due to Aerococcus viridans

Nasoodi

Ali

Gray

et al. 2008

Journal of Medical Microbiology

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Aerococcus viridans is a microaerophilic, Gram-positive, catalase-negative coccus, found singly or in tetrads. To date, no case of spondylodiscitis due to this organism has been reported. We report what we believe to be the first case of spondylodiscitis caused by A. viridans, in a patient with decompensated liver failure, and discuss the possible pathogenesis of this rather uncommon pathogen in this case.

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Infective endocarditis and spondylodiscitis in a patient due to Aerococcus urinae: First report

Cited by 23 publications

References 7 publications

A rare case of Aerococcus urinae infective endocarditis in an atypically young male: case report and review of the literature

A rare case of Aerococcus urinae infective endocarditis in an atypically young male: case report and review of the literature

Ongoing Control of Haemophilus influenzae Type B Infections in Canadian Children, 2004–2007

Spondylodiscitis due to Aerococcus viridans

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