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Journal of Clinical Microbiology, June 2003, p. 2654-2658, Vol. 41, No. 6
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.6.2654-2658.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Ischemic Stroke and Splenic Rupture in a Case of Streptococcus bovis Endocarditis

Claudia Stöllberger,1* Josef Finsterer,2 Angelika Pratter,1 Wolfgang Kopsa,3 Julius Preiser,4 and Andreas Valentin1

Medizinische Abteilung,1 Department of Neurology,2 Department of Radiology,3 Department of Pathology, Krankenanstalt Rudolfstiftung, 1030 ViennaAustria4

Received 23 September 2002/ Returned for modification 23 October 2002/ Accepted 23 November 2002

A 58-year-old man with an acute stroke suffered from splenic rupture. Streptococcus bovis was found in blood cultures, and gram-negative cocci were found in the infarcted spleen. Hemorrhagic transformation of the stroke occurred. Echocardiography showed aortic endocarditis. Cardiac surgery was not performed because of concern about cerebral bleeding. The patient died due to cerebral rehemorrhage after 3 weeks.

* Corresponding author. Mailing address: Steingasse 31/18, 1030 Vienna, Austria. Phone and fax: 43 1 713-98-70. E-mail: claudia.stoellberger{at}chello.at.

Journal of Clinical Microbiology, June 2003, p. 2654-2658, Vol. 41, No. 6
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.6.2654-2658.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.





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