Native mitral valve infective endocarditis caused by Actinobacillus equuli

Abstract

A 45-year-old woman with Brown-Séquard syndrome was admitted for fever, chills, diffuse pain, and headaches that had started 4 days before. She did not take any medication. Clinical examination and vital signs were normal. Laboratory tests showed a white blood cell count of 6100 per μL (4500–11 000 per μL) and a C-reactive protein concentration of 229·1 mg/L (<5·0 mg/L). Urinary analysis was normal. SARS-CoV-2 PCR test was negative. Chest x-ray, abdominal ultrasound, and brain CT were normal.