Streptococcus agalactiae endocarditis presenting as acalculous cholecystitis in a previously well woman.

Hdl Handle:
http://hdl.handle.net/10147/270552
Title:
Streptococcus agalactiae endocarditis presenting as acalculous cholecystitis in a previously well woman.
Authors:
Brewer, Linda; Lavan, Amanda Hanora; Cullen, Laura; Duggan, Joseph
Affiliation:
Medicine for the Older Person, Mater Hospital, Dublin, Ireland.
Citation:
Streptococcus agalactiae endocarditis presenting as acalculous cholecystitis in a previously well woman. 2013, 2013: BMJ Case Rep
Journal:
BMJ case reports
Issue Date:
2013
URI:
http://hdl.handle.net/10147/270552
DOI:
10.1136/bcr-2012-008278
PubMed ID:
23405002
Abstract:
This case report describes the unusual presentation of a previously very well woman with Streptococcus agalactiae endocarditis in the emergency department. History, examination and preliminary laboratory and radiological investigations supported a diagnosis of acalculous cholecystitis, for which she was given intravenous broad spectrum antimicrobial therapy. One day following admission, the patient deteriorated and became unresponsive. Subsequent MRI of the brain revealed multiple bihemispheric cerebral emboli and a large, mobile mitral valve thrombus was visualised on her transoesophageal echocardiogram. S agalactiae was cultured from venous blood samples and her antimicrobial cover was adjusted accordingly. Despite her presumed guarded prognosis, this patient made a remarkable recovery. To our knowledge, the association of S agalactiae endocarditis with acalculous cholecystitis has not been previously described.
Item Type:
Article
Language:
en
ISSN:
1757-790X

Full metadata record

DC FieldValue Language
dc.contributor.authorBrewer, Lindaen_GB
dc.contributor.authorLavan, Amanda Hanoraen_GB
dc.contributor.authorCullen, Lauraen_GB
dc.contributor.authorDuggan, Josephen_GB
dc.date.accessioned2013-02-27T10:17:54Z-
dc.date.available2013-02-27T10:17:54Z-
dc.date.issued2013-
dc.identifier.citationStreptococcus agalactiae endocarditis presenting as acalculous cholecystitis in a previously well woman. 2013, 2013: BMJ Case Repen_GB
dc.identifier.issn1757-790X-
dc.identifier.pmid23405002-
dc.identifier.doi10.1136/bcr-2012-008278-
dc.identifier.urihttp://hdl.handle.net/10147/270552-
dc.description.abstractThis case report describes the unusual presentation of a previously very well woman with Streptococcus agalactiae endocarditis in the emergency department. History, examination and preliminary laboratory and radiological investigations supported a diagnosis of acalculous cholecystitis, for which she was given intravenous broad spectrum antimicrobial therapy. One day following admission, the patient deteriorated and became unresponsive. Subsequent MRI of the brain revealed multiple bihemispheric cerebral emboli and a large, mobile mitral valve thrombus was visualised on her transoesophageal echocardiogram. S agalactiae was cultured from venous blood samples and her antimicrobial cover was adjusted accordingly. Despite her presumed guarded prognosis, this patient made a remarkable recovery. To our knowledge, the association of S agalactiae endocarditis with acalculous cholecystitis has not been previously described.en_GB
dc.language.isoenen
dc.rightsArchived with thanks to BMJ case reportsen_GB
dc.titleStreptococcus agalactiae endocarditis presenting as acalculous cholecystitis in a previously well woman.en_GB
dc.typeArticleen
dc.contributor.departmentMedicine for the Older Person, Mater Hospital, Dublin, Ireland.en_GB
dc.identifier.journalBMJ case reportsen_GB
dc.description.provinceLeinsteren

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