Aortic mycotic aneurysms are a rare but life-threatening potential complication of infective endocarditis. Rapid deterioration of the vascular wall in highly focal areas makes these pseudoaneurysms particularly prone to rupture, resulting in uncontrolled aortic hemorrhage. While computed tomography angiography (CTA) is the imaging modality of choice for the evaluation of mycotic aneurysms, it i...

scan showed a suprasellar SAH, extending toward pons and occipital lobes. General examination showed cardiac systolic apical murmur. Blood tests confirmed the presence of anemia (RBC 3,000,000 mm 3 , Hb 9 M ), elevation of C-reactive protein (106 M ) and fibrinogen (816 M ). Angio-CT of cerebral vessels did not show any aneurysm or vascular malformation. We decided to submit the patient to angi...

PURPOSE Cerebral infarction secondary to septic embolism is a lethal complication of infective endocarditis. However, its effective treatment has not been well defined in the previous literature. CASE REPORT We presented a patient suffering from right middle cerebral artery (MCA) embolism with left hemiplegia and infective endocarditis, who was once treated with intra-arterial thrombolysis wi...

Scopulariopsis is a genus of mold that is usually associated with onychomycosis and rarely causes complicated infection in immunocompetent persons. We describe a case of an immunocompetent 65-year-old male with a history of mitral valve repair with prosthetic ring placement who developed acute left posterior knee pain. Imaging showed a left popliteal artery aneurysm and thrombus, and further ev...

Patients with blood cultures positive for gram-positive cocci were enrolled in a prospective randomized double-blind comparative trial of vancomycin at 15 mg/kg every 12 h versus teicoplanin at 6 mg/kg every 12 h for three doses and then 6 mg/kg every 24 h. A total of 54 patients were randomized, and 40 were evaluable. Of the 40, 9 had infection of indwelling vascular catheters. Four infections...

UNLABELLED A 32-year-old male presented with infective endocarditis and left ventricular pseudoaneurysm (PA). The patient was treated with oxacillin but remained intermittently febrile for the next 3 weeks. Blood culture revealed Staphylococcus aureus. Treatment with oxacillin 2 g every 4 hours gradually reduced the fever. Echocardiography then showed an aneurysm-like structure communicating wi...

evidence of embolic events. Because of uncontrolled infection and the possibility of pus spreading out into the cardiac structures, we decided to proceed with operation. After resection of the mass with AML, mitral valve was replaced by mechanical prosthetic valve. There was a septated space in the mass. The space was open to the left ventricular side. Histopathology showed suppurative inflamma...

A 41-year-old right-handed man with bicuspid aortic valve and a 3-month history of chronic fever and weight loss presented with sudden onset of severe headache. Computerised tomography of the head revealed a right basal ganglia haemorrhage. Further investigation documented Streptococcus mitis bacteraemia, a fusiform right middle cerebral artery aneurysm, and an abscess at the base of the anteri...

Analysis of 17 patients with infective endocarditis and intracranial hemorrhage yielded several different mechanisms of bleeding. Nine of 15 (60%) symptomatic intracranial hemorrhages occurred within 48 hours of admission and 3 more (20%) after hospital discharge. In 7 patients with Staphylococcus aureus endocarditis, symptomatic intracranial hemorrhage occurred within 48 hours of admission and...

The commonest form of cardiac valvular aneurysm is the thrombo-aneurysm of Ribbert (1924), which arises by perforation of an ulcer of the valve cusp into a hollow thrombotic mass and by organization undergoes fibrosis of varying degree. Reports of such aneurysms are not infrequent in the early reports of bacterial endocarditis, but aneurysms having well-organized, smooth, fibrous walls are rare...