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Papers of the Week

2016 Sep 29

Infect Dis Rep



Endocarditis with Ruptured Mycotic Aneurysm of Right Renal Artery.


Pugliese M E, Falcone M, Oliva A, Faccenna F, D'Aluisio D, Morelli S
Infect Dis Rep. 2016 Sep 29; 8(3):6515.
PMID: 31343642.


has been infrequently reported as a cause of infection in humans. It has been associated with a variety of clinical syndromes but -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 11,360×10/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