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[Subacute bacterial endocarditis due to lactobacillus (author's transl)]
La Nouvelle Presse Medicale
|November 19, 1977
Summary
This case report details endocarditis caused by Lactobacillus casei in a patient with aortic insufficiency. Neurological symptoms arose from a cerebral artery thrombosis, linked to a dental extraction.
Area of Science:
- Infectious Diseases
- Cardiology
- Neurology
Background:
- Endocarditis is a serious infection of the heart's inner lining.
- Lactobacillus casei is an uncommon cause of infective endocarditis.
- Aortic insufficiency can predispose individuals to endocarditis.
Observation:
- A 33-year-old male presented with neurological deficits.
- These symptoms were attributed to a thrombosis of the right posterior cerebral artery.
- The patient had underlying aortic insufficiency of unknown etiology.
Findings:
- Infective endocarditis was diagnosed, caused by Lactobacillus casei.
- A dental extraction was identified as the likely source of infection.
- This represents the eleventh reported case of Lactobacillus casei endocarditis in the literature.
Implications:
- Highlights Lactobacillus casei as a potential pathogen in endocarditis.
- Underscores the importance of considering dental procedures as a source of infection.
- Emphasizes the diverse clinical presentations of endocarditis, including neurological complications.