Native valve endocarditis caused by Kocuria rosea complicated by peripheral mycotic aneurysm in an elderly host

P Gunaseelan, G Suresh, V Raghavan, S VaradarajanJournal of Postgraduate Medicine 2017 63(2):135-137Infective endocarditis still remains a dreaded illness among treating physicians because of the disease course, its need for meticulous antibiotic management, complications, and overall morbidity. Peripheral mycotic aneurysms are a rarely reported complication of infective endocarditis. Mycotic aneurysms occur in about 5%–10% of cases of infective endocarditis, and most of them involve the intracranial vessels. Here, we report a case of native valve endocarditis in a 74-year-old man caused by Kocuria rosea. He presented with septic shock and acute kidney injury. His illness was complicated by a right popliteal artery mycotic aneurysm. He was treated with intravenous ceftriaxone and vancomycin. The mycotic aneurysm needed aneurysmectomy and anastomosis with a graft.

Source: Journal of Postgraduate Medicine - April 10, 2017 Category: Internal Medicine Authors: P Gunaseelan G Suresh V Raghavan S Varadarajan Source Type: research