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 CASE REPORT
Year : 2017  |  Volume : 63  |  Issue : 2  |  Page : 135-137

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


1 Department of Family Medicine, Sundaram Medical Foundation, Chennai, Tamil Nadu, India
2 Department of General Medicine, Sundaram Medical Foundation, Chennai, Tamil Nadu, India

Correspondence Address:
P Gunaseelan
Department of Family Medicine, Sundaram Medical Foundation, Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpgm.JPGM_441_16

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Infective 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.






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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow