Walter Evangelista-Abreu, Mrhaf Alsamman, Anteneh Addisu, Nitin Dhaon, Arnaldo Reyes, Lily Knight, Hamza Alaan
{"title":"A Unique Case of Tri-Valvular <i>Serratia marcescens</i> Infective Endocarditis Complicated by Innumerable Emboli.","authors":"Walter Evangelista-Abreu, Mrhaf Alsamman, Anteneh Addisu, Nitin Dhaon, Arnaldo Reyes, Lily Knight, Hamza Alaan","doi":"10.14740/jmc3954","DOIUrl":null,"url":null,"abstract":"<p><p><i>Serratia marcescens</i> (<i>S. marcescens</i>) is a gram negative bacterium rarely associated with cases of infective endocarditis (IE). Involvement of three cardiac valves, as evidenced by echocardiography, is uncommon as well. <i>S. marcescens</i> IE and tri-valvular endocarditis have been rarely described in literature. We report a unique case of <i>S. marcescens</i> tri-valvular IE in a 42-year-old female with sudden altered mental status and no underlying structural heart disease complicated by embolic infarcts in both cerebral and cerebellar hemispheres, and a sub-arachnoid hemorrhage. To our knowledge, this is the first reported case of tri-valvular <i>S. marcescens</i> IE. We believe this report will add to the growing literature of rare bacterial IE and considering this in the differential in the right clinical scenario.</p>","PeriodicalId":16279,"journal":{"name":"Journal of Medical Cases","volume":"13 7","pages":"349-353"},"PeriodicalIF":0.0000,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/bc/jmc-13-349.PMC9332831.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Cases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14740/jmc3954","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/7/20 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Serratia marcescens (S. marcescens) is a gram negative bacterium rarely associated with cases of infective endocarditis (IE). Involvement of three cardiac valves, as evidenced by echocardiography, is uncommon as well. S. marcescens IE and tri-valvular endocarditis have been rarely described in literature. We report a unique case of S. marcescens tri-valvular IE in a 42-year-old female with sudden altered mental status and no underlying structural heart disease complicated by embolic infarcts in both cerebral and cerebellar hemispheres, and a sub-arachnoid hemorrhage. To our knowledge, this is the first reported case of tri-valvular S. marcescens IE. We believe this report will add to the growing literature of rare bacterial IE and considering this in the differential in the right clinical scenario.
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