Thread by @guerreroespejo

A 58-YO♂️, DM, fever & L lower quadrant abdominal pain 2 months prior: acute R-sided back pain, & 3/6 diastolic murmur at R upper sternal border.

CT: a R renal infarction & splenic embolism

MR: multiple infarctions
1/7

doi.org/10.1016/j.idcr…
#Cardiology #medicine #cardiologia

Transesophageal echocardiography: a vegetation and severe aortic regurgitation.

Blood 🧫: Cardiobacterium hominis

CARDIOBACTERIUM HOMINIS ENDOCARDITIS ASSOCIATED WITH CEREBRAL, RENAL, AND SPLENIC INFARCTIONS
2/7

#IDtwitter #microbiology

The patient received antibiotic therapy and surgical aortic valve replacement, and he was doing well without major complications.
3/7

#infecciosas #MedTwitter #Doctor

Cardiobacterium hominis is a fastidious, pleomorphic, gram-negative bacillus that causes infective endocarditis.

Identification of C. hominis is difficult because it grows very slowly in culture media.
4/7

#microbiología #MedicinaInterna #MedStudentTwitter

The positive predictive value of C. hominis bacteremia in the presence of endocarditis is hight.

C. hominis is associated with aortic valve infection.
5/7

#MedicalStudents #MedEd #bacteriology

C. hominis is also known to cause large friable vegetations complicated by systemic embolism.

Thus, if a C. hominis infection is identified, physicians should check for the presence of vegetations of the heart valves.
6/7

#MIR #EducaciónMédica #Medicina

C. hominis infective endocarditis presents with prolonged symptoms.

Physicians should suspect concomitant complications in the presence of organ infarction.
7/7

#internalmedicine #primarycare #emergency