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Infectious intracranial aneurysm associated with Lactococcus garvieae: A case report and literature review
Chung-Ho Lee1, Peter Yat-Ming Woo2, Calvin Ka-Lam Leung2
1Department of Pathology, Kwong Wah Hospital, Hong Kong Special Administrative Region, China.
Abstract:
Lactococcus garvieae is a known fish pathogen associated with numerous aquacultural outbreaks. In humans, L. garvieae primarily causes infective endocarditis, but infections involving other organs have also been reported. We report the first case of ruptured infectious intracranial aneurysm associated with L. garvieae bacteraemia without concomitant infective endocarditis. The diagnosis of a left distal posterior cerebral artery mycotic aneurysm was based on a computed tomography angiogram, catheter angiogram and histopathological examination of the resected aneurysm. Here, we review the literature on human L. garvieae infections and describe the clinical characteristics, risk factors, management and outcomes of the cases identified to date.
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