Innocent Until Proven Guilty: Native ValveInfective Endocarditis Complicated by Embolic Stroke in a Peritoneal Dialysis Patient: A Case Report

Source: PubMed Central Open Access, NCBI / U.S. National Library of Medicine

is a coagulase-negative staphylococcus (CoNS) with unique virulence traits that mimic, despite traditionally being grouped among less pathogenic skin flora. Unlike other CoNS,can infect native valves and cause aggressive infective endocarditis (IE). We present a rare and instructive case ofnative mitral valve endocarditis complicated by cerebral embolic infarctions and requiring surgical valve replacement in a patient on chronic peritoneal dialysis. This case underscores the diagnostic challenge of CoNS bacteremia, highlights the embolic potential of, and represents one of the few documented cases of stroke complicatingIE in a dialysis-dependent patient without prosthetic devices.