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BMJ Case Rep. 2010; 2010: bcr0620092023.
Published online 2010 September 10. doi:  10.1136/bcr.06.2009.2023
PMCID: PMC3028262
New disease

Multi-territory ischaemic strokes and subacute bacterial endocarditis


We describe an elderly patient presenting with cardio-embolic stroke who was found to have infective endocarditis (IE) affecting the mitral valve. Penicillin-resistant Facklamia hominis was identified as the causative pathogen. Despite initiation of aggressive antibiotic treatment, the patient suffered a fatal myocardial infarction 2 days post-diagnosis of IE.

Facklamia spp. have not been previously reported to be associated with IE. Here, we discuss the link between IE and cardio-embolic stroke along with a discussion of various causative pathogens.

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