Lactobacillus garvieae endocarditis presenting with leg cramps

Publication date: Available online 11 July 2018Source: IDCasesAuthor(s): Seok Mei Lim, Beatrix Wong, Gail Brenda Cross, Reshma MerchantAbstractAn 85-year-old man with a history of aortic valve replacement presented with lower limb cramps. He was initially diagnosed with degenerative disc disease, but was found to have Lactococcus garvieae infective endocarditis with septic embolic strokes causing a central poststroke pain syndrome. Cardiothoracic surgery was deemed too high risk and the patient completed 6 weeks of intravenous antimicrobials as well as prolonged inpatient rehabilitation. Lactococcus garvieae is an aquaculture pathogen which typically affects elderly and immunocompromised patients. Atypical presentations of endocarditis in the elderly can lead to delays in diagnosis.
Source: IDCases - Category: Infectious Diseases Source Type: research