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Aggregatibacter actinomycetocomitans prosthetic valve endocarditis causing sequential transient ischaemic attack,
Laurence Preen1, Jackson Harvey2, Joshua Mahadevan2
1Royal Adelaide Hospital, Adelaide, South Australia, Australia laurence.preen@sa.gov.au.
Abstract:
Subacute bacterial endocarditis is often associated with non-specific symptoms and multi-system embolic phenomena that can make diagnosis difficult. We present a case of Aggregatibacter actinomycetocomitans (Aa) prosthetic valve endocarditis, initially causing a transient ischaemic attack, inflammatory arthropathy, then intracerebral haemorrhage, the latter leading to diagnosis. Aa should be suspected in prosthetic valve recipients with sequential onset of inflammatory arthropathy and cerebrovascular disease.
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