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Aerococcus Urinae Endocarditis: A Case Report and Literature Review
Khalid Saeed Al-Asad1, Naveed Mazhar1, Shaurya Srivastava1
1Internal Medicine, Michigan State University, East Lansing, USA.
Cureus
|November 7, 2022
Summary
A rare bacterial infection, Aerococcus urinae, caused severe aortic valve damage and heart failure in an elderly patient with chronic kidney disease. Prompt diagnosis and treatment are crucial for infective endocarditis.
Area of Science:
- Cardiology
- Infectious Diseases
- Nephrology
Background:
- A 75-year-old male with chronic kidney disease stage 3 (CKD3) presented with fever.
- The patient had recent bilateral hydronephrosis and Foley catheter placement.
Observation:
- Blood cultures revealed Aerococcus urinae.
- Transthoracic echocardiogram showed aortic valve thickening, perforation, and severe aortic regurgitation.
- The patient developed decompensated congestive heart failure and cardiogenic shock.
Findings:
- Aerococcus urinae, a rare organism, was identified as the cause of infective endocarditis.
- The infection led to critical cardiovascular compromise.
Implications:
- This case underscores the importance of timely diagnosis and treatment of infective endocarditis.
- It highlights Aerococcus urinae as a potential, albeit uncommon, pathogen in endocarditis.
- Awareness of rare etiologies is vital for effective clinical management.
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