Aerococcus spp infective endocarditis following a prostate biopsy: a case report

Santos-Veloso, Marcelo Antônio Oliveira; Barros, Maria das Neves Dantas da Silveira; Carvalho, Marcos Holmes; Barbosa, Daniela Azevedo de Carvalho Kamel; Rodrigues, Jorge Vieira

doi:10.1590/S1678-9946202163018

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CASE REPORT • Rev. Inst. Med. trop. S. Paulo 63 • 2021 • https://doi.org/10.1590/S1678-9946202163018 copy

Aerococcus spp infective endocarditis following a prostate biopsy: a case report

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

We report a rare case of an infective endocarditis by Aerococcus spp in a bioprosthetic aortic valve following a prostate biopsy, in an asymptomatic adult with no additional risk factor for prostate cancer, excepting for age. The diagnosis was based on the presence of vegetations on the bioprosthesis seen on the echocardiogram, positive blood cultures and fever, and a favorable clinical outcome following the treatment with ceftriaxone and gentamicin.

Prostate biopsy; Infective endocarditis; Bioprosthesis; Aortic valve

	Reference range	On hospital admission	6^th day after admission	On discharge
Hb (g/dL)	12-16	8.5	8.6	8.8
Ht (%)	36-46	25.7	27.2	29.4
Leucocytes (cells/mm³)	4,500-11,000	9,200	10,070	10,030
Blasts (%)	0-4	0	0	-
Segmented (%)	45.5-73.5	78	76	73
Lymphocytes (%)	0-4.4	18	22	21
Platelets (10³/mm³)	140-500	231	254	250
Urea (mg/dL)	19.3-49.2	34	64	74
Creatinine (mg/dL)	0.50-1.10	0,8	1.3	1.4
Sodium (mEq/L)	135-145	135	136	137
Potassium (mEq/L)	3.5-5.5	4.5	5.0	5.5
Total bilirrubin (mg/dL)	0-1.2	0.44	-	-
Albumin (g/dL)	3.5-4.7	3.7	-	-
CRP (mg/dL)	< 0.3	-	13.02	3.6

Articles	Age	Sex	Time to diagnosis	Treatment	Additional confirmation	Valve replacement	Outcome
Popescu et al.⁶	49	M	7 months	Ampicillin + Amikacin	No	No	Cure / No relapse
Popescu et al.⁶	62	M	1 month	Ceftriaxone + Amikacin	No	Yes	Cure / No relapse
Popescu et al.⁶	40	M	3 weeks	Penicilin G + Gentamicin	No	No	Cure / No relapse
Popescu et al.⁶	45	F	3 days	Penicilin G + Gentamicin	No	Yes	Cure
Janosek et al.¹²	10	M	1 month	Norfloxacin + Amikacin	No	Yes	Cure
Untereker et al.¹³	28	M	6 months	Penicilin G + Gentamicin	No	Yes	Cure / No relapse
Calık et al.¹⁴	44	M	Days	Penicilin + Streptomycin	16S rRNA sequencing	No	Death
Li et al.¹⁵	54	M	4 months	Penicilin	No	No	Cure / No relapse
Chen et al.⁷	58	M	4 days	Cefotaxime + Vancomycin	No	No	Cure
Cattoir et al.¹⁶	44	F	2 weeks	Ampicillin + Gentamicin	No	No	NI
Zhou et al.⁸	69	M	5 weeks	Penicilin	No	Yes	Cure
Orati et al.¹	56	F	8 days	Ampicilin + Vancomycin	No	No	Cure

Instituto de Medicina Tropical de São Paulo Av. Dr. Enéas de Carvalho Aguiar, 470, 05403-000 - São Paulo - SP - Brazil, Tel. +55 11 3061-7005 - São Paulo - SP - Brazil
E-mail: revimtsp@usp.br

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[1] Correspondence to: Marcelo Antônio Oliveira Santos-Veloso Hospital dos Servidores do Estado, Serviço de Clínica Médica, Av. Conselheiro Rosa e Silva, 36, 2º Andar B, CEP 52020-220, Recife, PE, Brazil E-mail:marcelosantos.med@gmail.com