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Korean J Infect Dis. 1997 Nov;29(6):499-502. Korean. Controlled Clinical Trial.
Chun JH , Koh JH , Lee H , Kim S , Peck KR , Kim SJ , Lee NY , Song JH .
Division of Infectious Diseases, Department of Medicine, Sung Kyun Kwan University, College of Medicine, Samsung Medical Center, Seoul, Korean.
Department of Clinical Pathology, Sung Kyun Kwan University, College of Medicine, Samsung Medical Center, Seoul, Korean.
Abstract

In recent years, an increasing number of infections with Pasteurella multocida in human have been reported, causing a wide range of systemic illness. Infective endocarditis with P. multocida, however, is still quite rare. Recently we experienced a case of P. multocida endocarditis in a 26-year old man who was admitted because of fever and headache. He denied any recent contact with animals. P. multocida was identified from blood cultures and echocardiography showed mitral regurgitation and vegetation on mitral valve area. He became stuporous on the fourth hospital day and the brain MRI showed acute cerebral infarction. He was treated with penicillin intravenously for six weeks, which successfully controlled clinical features of infections. To our knowledge, this is the first case of P. multocida endocarditis complicated with cerebral infarction in Korea.

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