Open AccessAeromonas hydrophila Endocarditis with Ruptured Mycotic Aneurysm of Right Renal Artery
Author(s) -
Maria Elena Pugliese,
Marco Falcone,
Alessandra Oliva,
Federico Faccenna,
Denise D’Aluisio,
Sergio Morelli
Publication year - 2016
Publication title -
infectious disease reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.487
H-Index - 17
ISSN - 2036-7449
DOI - 10.4081/idr.2016.6515
Subject(s) - medicine , leukocytosis , aeromonas hydrophila , endocarditis , white blood cell , surgery , physical examination , right renal artery , mycotic aneurysm , aneurysm , renal artery , kidney , genetics , bacteria , biology
Aeromonas hydrophila has been infrequently reported as a cause of infection in humans. It has been associated with a variety of clinical syndromes but Aeromonas-related endocarditis is extremely rare. We present the case of a 76- year-old diabetic patient who was admitted to our hospital due to severe lumbar pain resistant to nonsteroidal anti-inflammatory drugs accompanied by fever (up to 38.5°C). The vital signs were normal and the physical examination was unremarkable except for tenderness over right flank. Laboratory investigation showed a mild leukocytosis (white blood cell count of 11,360×106/L) with elevation of inflammatory markers. Cardiac ultrasound showed a large vegetation on the mitral valve. Abdominal computed tomogrpahy revealed a ruptured aneurysm of the right renal artery. Multiple sets of blood culture grew A. hydrophila.
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