Unreported neurological complications of Gemella bergeriae infective endocarditis

Area of Science:

• Cardiology
• Infectious Diseases
• Neurology

Background:

• Native valve endocarditis is a serious infection affecting heart valves.
• Rheumatic heart disease is a significant risk factor for infective endocarditis.
• Gemella bergeriae is a rare but potentially virulent cause of endocarditis.

Observation:

• A young patient with rheumatic heart disease presented with native aortic and mitral valve endocarditis.
• The infection followed a fulminant course.
• Neurological complications were observed, including embolic stroke.

Findings:

• The endocarditis was caused by Gemella bergeriae, a rare pathogen.
• Mycotic aneurysm rupture in the right middle cerebral artery led to intracerebral and subarachnoid hemorrhage.
• This case represents the first report of G. bergeriae endocarditis in the Middle East.

Implications:

• This case highlights the severe and often unreported neurological sequelae of G. bergeriae endocarditis.
• Early recognition and aggressive management are crucial for patients with rare infective endocarditis.
• Further research is needed to understand the specific risks and optimal treatment for G. bergeriae infections.