A Case of Cardiobacterium hominis Endocarditis Manifesting as Isolated Renal Infarction: Clinical Insights and Novel Presentation
Year: 2025
Type: article
Study design: Case Report
Abstract: A 47-year-old woman presented with renal infarction due to an unknown etiology. Intravascular ultrasonography (IVUS) revealed emboli rather than dissection, guiding successful renal artery intervention that resolved her abdominal pain and preserved renal function. Blood culture revealed Cardiobacterium hominis, and echocardiography confirmed infective endocarditis with vegetation on the mitral valve. Antimicrobial therapy effectively controlled the infection without worsening mitral regurgitation or embolism. This case highlights the role of IVUS in differentiating emboli from dissection, demonstrating the benefits of revascularization in renal infarction and representing a rare instance of renal infarction solely caused by C. hominis.
Source: Cureus
DOI: 10.7759/cureus.91880
Authors: Jotaro Yamamoto, Chinatsu Komiyama, Mizuki Haraguchi, Masamichi Imai, Takahide Kodama
Institution: Toranomon Hospital
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4414147242