Fatal infective endocarditis caused by Aerococcus sanguinicola: a case report and literature review
Raluca Jumatate,
Peter Hammarlund,
Madlene Holmqvist,
Arash Mokhtari,
Magnus Rasmussen
Affiliations
Raluca Jumatate
Department of Clinical Sciences Lund, Division of Cardiology, Lund University, Lund, Sweden; Skåne University Hospital, Lund, Sweden
Peter Hammarlund
Department of Cardiology, Helsingborg Hospital, Sweden
Madlene Holmqvist
Skåne University Hospital, Lund, Sweden; Department of Clinical Sciences Lund, Division of Infection Medicine, Lund University, Lund, Sweden
Arash Mokhtari
Skåne University Hospital, Lund, Sweden; Department of Clinical Sciences Lund, Department of Cardiothoracic Surgery, Lund University, Lund, Sweden
Magnus Rasmussen
Skåne University Hospital, Lund, Sweden; Department of Clinical Sciences Lund, Division of Infection Medicine, Lund University, Lund, Sweden; Correspondence to: Division of Infection Medicine Diseases, Department of Clinical Sciences Lund, Lund University, BMC B14, SE-223 63 Lund, Sweden.
Aerococcus sanguinicola is a bacterium that can cause urinary tract infections and on rare occasions infective endocarditis (IE). The prognosis of IE caused by aerococci is generally favourable despite that the patients are typically old and have multiple comorbidities. Here we report a case of A. sanguinicola native valve aortic IE in a 68-year-old man with an underlying urinary tract condition. The infection led to severe aortic valve insufficiency and rapid death before the patient could be subjected to surgery. This demonstrates that IE caused by A. sanguinicola can be severe and cause valve destruction. In addition to the case report, we provide a review of the current literature on A. sanguinicola IE.