Chung-Ho Lee , Peter Yat-Ming Woo , Calvin Ka-Lam Leung , Ronald Li , Jenny Kwan-Tsz Chan , Kwan-Shun Ng , Cindy Wing-Sze Tse
{"title":"Infectious intracranial aneurysm associated with Lactococcus garvieae: A case report and literature review","authors":"Chung-Ho Lee , Peter Yat-Ming Woo , Calvin Ka-Lam Leung , Ronald Li , Jenny Kwan-Tsz Chan , Kwan-Shun Ng , Cindy Wing-Sze Tse","doi":"10.1016/j.imj.2024.100123","DOIUrl":null,"url":null,"abstract":"<div><p><em>Lactococcus garvieae</em> is a known fish pathogen associated with numerous aquacultural outbreaks. In humans, <em>L. garvieae</em> primarily causes infective endocarditis, but infections involving other organs have also been reported. We report the first case of ruptured infectious intracranial aneurysm associated with <em>L. garvieae</em> bacteraemia without concomitant infective endocarditis. The diagnosis of a left distal posterior cerebral artery mycotic aneurysm was based on a computed tomography angiogram, catheter angiogram and histopathological examination of the resected aneurysm. Here, we review the literature on human <em>L. garvieae</em> infections and describe the clinical characteristics, risk factors, management and outcomes of the cases identified to date.</p></div>","PeriodicalId":100667,"journal":{"name":"Infectious Medicine","volume":"3 3","pages":"Article 100123"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772431X24000376/pdfft?md5=d5ad4eb5a55cbc8e5a0425ead546f399&pid=1-s2.0-S2772431X24000376-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Infectious Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772431X24000376","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Lactococcus garvieae is a known fish pathogen associated with numerous aquacultural outbreaks. In humans, L. garvieae primarily causes infective endocarditis, but infections involving other organs have also been reported. We report the first case of ruptured infectious intracranial aneurysm associated with L. garvieae bacteraemia without concomitant infective endocarditis. The diagnosis of a left distal posterior cerebral artery mycotic aneurysm was based on a computed tomography angiogram, catheter angiogram and histopathological examination of the resected aneurysm. Here, we review the literature on human L. garvieae infections and describe the clinical characteristics, risk factors, management and outcomes of the cases identified to date.
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