Ischaemic Stroke Complicating Infective Endocarditis: Microbleeds Are the Diagnostic Clue
نویسندگان
چکیده
Introduction: Ischemic strokes represent a classic complication of infective endocarditis (IE) and are most often related to the fragmentation valvular vegetation. In cases, they occur in Sylvian territory Staphylococcus aureus. MRI can demonstrate, addition AVCI image, cerebral microbleeds (CMBs) that very suggestive diagnosis. We present case patient who presented an ischemic stroke occurring context endocarditis. Observation: A 32-year-old woman with no previous medical history initially acute febrile headache, two weeks later she developed right hemiplegia aphasia fever. Her general examination revealed lesions on soles her feet, form nodules, infected places, Janeway nodules (characteristic IE). The brain showed territory, presence multiple magnetic susceptibility sequences. biological severe inflammatory syndrome; transthoracic echocardiography (TTE) confirmed vegetation aortic valve; blood cultures Antibiotic therapy was started, transferred cardiology department. Discussion: Our observation has double interest. first is clinical due plantar (Janeway’s nodules) characteristic IE which should orientate diagnosis before installation stroke, second radiological linked discovery microbleeds. Their increasingly reported literature, but their pathophysiology not yet clear. Conclusion: Stroke frequent extracardiac during IE. contributes early diagnosis, especially asymptomatic forms.
منابع مشابه
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ژورنال
عنوان ژورنال: Case Reports in Clinical Medicine
سال: 2022
ISSN: ['2325-7075', '2325-7083']
DOI: https://doi.org/10.4236/crcm.2022.111003