A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis
Background. Infectious endocarditis (IE) typically occurs in the setting of intravenous drug use, prosthetic heart valves, or rheumatic heart disease. However, there are a few reports of IE occurring in the setting of immunosuppression secondary to cancer and/or chemotherapy. Here, we present a case...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/9658120 |
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| author | Aria Mahtabfar Hamoon Eshraghi Melroy D’Souza William Berrigan Kathleen Casey |
| author_facet | Aria Mahtabfar Hamoon Eshraghi Melroy D’Souza William Berrigan Kathleen Casey |
| author_sort | Aria Mahtabfar |
| collection | DOAJ |
| description | Background. Infectious endocarditis (IE) typically occurs in the setting of intravenous drug use, prosthetic heart valves, or rheumatic heart disease. However, there are a few reports of IE occurring in the setting of immunosuppression secondary to cancer and/or chemotherapy. Here, we present a case of a cancer patient who developed anterior spinal artery (ASA) syndrome secondary to a septic embolus from IE. Case Presentation. A 78-year-old male with a history of gastroesophageal cancer treated with chemotherapy and radiation presented to the hospital after a fall at home. He reported experiencing dyspnea and orthopnea for two weeks prior to presentation. In the ED, his vital signs were stable, and his examination was significant for a flaccid paralysis of the right lower extremity. Diagnosis of septic emboli secondary to IE was made after the echocardiogram showed the presence of vegetations on the aortic valve, blood cultures were positive for Streptococcus mitis, and thoracic spine MRI was indicative of an infarction at T10. Discussion. This case highlights the presence of IE in the setting of cancer and chemotherapy. Although cancer is a rare cause of IE, clinicians must maintain a high index of suspicion in order to minimize the sequelae of IE. |
| format | Article |
| id | doaj-art-a69bfbf85e234ea49e9ba052ca6b390f |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-a69bfbf85e234ea49e9ba052ca6b390f2025-02-03T01:07:15ZengWileyCase Reports in Medicine1687-96271687-96352018-01-01201810.1155/2018/96581209658120A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis EndocarditisAria Mahtabfar0Hamoon Eshraghi1Melroy D’Souza2William Berrigan3Kathleen Casey4Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USARutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USADepartment of Medicine, Jersey Shore University Medical Center, Neptune, NJ, USADepartment of Infectious Disease, Jersey Shore University Medical Center, Neptune, NJ, USABackground. Infectious endocarditis (IE) typically occurs in the setting of intravenous drug use, prosthetic heart valves, or rheumatic heart disease. However, there are a few reports of IE occurring in the setting of immunosuppression secondary to cancer and/or chemotherapy. Here, we present a case of a cancer patient who developed anterior spinal artery (ASA) syndrome secondary to a septic embolus from IE. Case Presentation. A 78-year-old male with a history of gastroesophageal cancer treated with chemotherapy and radiation presented to the hospital after a fall at home. He reported experiencing dyspnea and orthopnea for two weeks prior to presentation. In the ED, his vital signs were stable, and his examination was significant for a flaccid paralysis of the right lower extremity. Diagnosis of septic emboli secondary to IE was made after the echocardiogram showed the presence of vegetations on the aortic valve, blood cultures were positive for Streptococcus mitis, and thoracic spine MRI was indicative of an infarction at T10. Discussion. This case highlights the presence of IE in the setting of cancer and chemotherapy. Although cancer is a rare cause of IE, clinicians must maintain a high index of suspicion in order to minimize the sequelae of IE.http://dx.doi.org/10.1155/2018/9658120 |
| spellingShingle | Aria Mahtabfar Hamoon Eshraghi Melroy D’Souza William Berrigan Kathleen Casey A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis Case Reports in Medicine |
| title | A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis |
| title_full | A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis |
| title_fullStr | A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis |
| title_full_unstemmed | A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis |
| title_short | A Case of Anterior Spinal Artery Syndrome Caused by Streptococcus mitis Endocarditis |
| title_sort | case of anterior spinal artery syndrome caused by streptococcus mitis endocarditis |
| url | http://dx.doi.org/10.1155/2018/9658120 |
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