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J Med Microbiol 57 (2008), 376-381; DOI: 10.1099/jmm.0.47493-0
© 2008 Society for General Microbiology
ISSN 1473-5644


Case Report

Neisseria elongata endocarditis complicated by brain embolism and abscess

Ju-Feng Hsiao1, Ming-Hsun Lee2, Ju-Hsin Chia3, Wan-Jing Ho1, Jaw-Ji Chu4 and Pao-Hsien Chu1

1 Division of Cardiology, Department of Internal Medicine, Chang Gung University College of Medicine, Taipei, Taiwan, ROC

2 Division of Infectious Diseases, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan, ROC

3 Department of Clinical Pathology and Department of Medical Biotechnology and Laboratory Science, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan, ROC

4 Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan, ROC

Correspondence
Pao-Hsien Chu
pchu{at}adm.cgmh.org.tw

Received 3 July 2007
Accepted 24 October 2007


We report a case of Neisseria elongata endocarditis with thalamic septic embolization and subsequent brain abscess formation, which to the best of our knowledge has never been reported in the literature. The brain abscess completely resolved after a surgical repair of the infected mitral valve and an additional 4 weeks of antimicrobial therapy. Based on a review of all previous reports of N. elongata endocarditis, including ours, this will remind physicians that invasive N. elongata infections should be managed and followed up cautiously, as surgical intervention is often required.


Abbreviations: CRP, C-reactive protein; CT, computed tomography; ER, emergency room; MRI, magnetic resonance imaging.







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