The patient had 2 bouts of endocarditis in a short period, each instigated by a different
organism, but the second had a most unusual herald. A 38-year-old man with fever and
abdominal pain was brought to the Emergency Department from a subacute rehabilitation
facility. Three months earlier, he had been admitted to the hospital and diagnosed
with Granulicatella species bacteremia secondary to injection drug use and complicated by aortic valve
endocarditis, splenic infarct, and a splenic artery aneurysm. He underwent splenectomy
and aortic valve replacement with a bioprosthetic valve and was discharged with a
peripherally inserted central catheter line to complete 6 weeks of treatment with
intravenous penicillin G and gentamicin.
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Article info
Publication history
Published online: April 09, 2018
Thomas J. Marrie, MD, Section EditorFootnotes
Funding: None.
Conflicts of Interest: None.
Authorship: All authors had access to the data and a role in writing the publication.
Identification
Copyright
Published by Elsevier Inc.
