Author/Authors :
Tamdy، Asmaa نويسنده , , Asmaa and El Louali، نويسنده , , Fedoua and Ounzar، نويسنده , , Manal and Fettouhi، نويسنده , , Hanane and Hajkacem، نويسنده , , Hanane and Fellat، نويسنده , , Ibtissam and Zarzur، نويسنده , , Jamila and Sbihi، نويسنده , , Leila and Doghmi، نويسنده , , Nawal and Oukerraj، نويسنده , , Latifa and Cherti، نويسنده , , Mouhamed، نويسنده ,
Abstract :
Mycotic aneurysms are rare, and depending on their location, can threaten functional prognosis. We report on a 17-year-old girl with no previous history of cardiovascular or infectious disease, referred to our Department of Cardiology with right hemiplegia and aphasia. A neurological evaluation revealed thrombosis of a mycotic cerebral aneurysm, complicated by ischemic and hemorrhagic infarction. Transthoracic echocardiography indicated huge, highly mobile mitral vegetation associated with a mitral regurgitation with a triple stream. Hemocultures isolated Staphylococcus lugdunensis. Shortly afterward, she developed bilateral tibial and pedal mycotic aneurysm. The patient received antibiotics, with minor neurological improvement initially, but she soon died because of a brain herniation. Based on our findings in this case, we discuss the features of endocarditis attributable to S. lugdunensis.
