BACKGROUND Although aneurysm formation accompanying parenchymal hemorrhage is one of devastating complications in the central nerves system (CNS), imaging studies of the brain are not routinely warranted in patients with infective endocarditis (IE). To assess the clinical importance for detecting silent lesions in the central nervous system, we investigated hypointense signal spots detected on ...

stantial rebate on their health insurance rates. Exceptions would have to be made, of course for patients with physical handicaps. In addition, as recently stated by Joyner in an editorial comment, deconditioning should become a recognized syndrome or diagnosis. This would definitively facilitate the education of the general population as well as the medical community about the beneficial effec...

Three cases of fungal endocarditis are described, each following a homograft valve replacement for aortic stenosis. The causative organism was C. albicans. The characteristic findings included soft, easily detached vegetations consisting of fungal colonies, aneurysms, embolization of large vessels, and lack of response to current therapeutic measures. The source of the infection is obscure.

A case of cardioaortic fistula, due to rupture of an aneurysm of a sinus of Valsalva into the right ventricle, is described. This case was diagnosed in life and treated surgically one year later when the patient was admitted to hospital with bacterial endocarditis. The clinical features are discussed and the role of special methods of investigation in the diagnosis of the condition is defined. ...

showed a branch occlusion of the right middle cerebral artery at the site of the hemorrhage, but no evidence of mycotic aneurysms [Figures A-C]. The working diagnosis of cerebral infarct with unknown etiology led to subsequent investigations, which did not reveal any associated coagulopathies and the panel of autoimmune markers was within normal limits. Lumbar puncture showed pleocytosis with 3...

Mitral Valve Aneurysm (MVA) is rarely reported and occurs most in association with infective endocarditis of the aortic valve. In our case, the 46-yr-old Chinese man was referred to our hospital with dyspnea and orthopnea. Transesophageal echocardiography during operation revealed a localized, thin-walled saccular structure in the anterior leaflet that bulged into the left atrium, and severe mi...

Coxiella burnetii is a rare cause of chronic infection that most frequently presents as endocarditis. We report a case of C burnetii causing an infected abdominal aortic aneurysm with contiguous lumbar osteomyelitis resulting in spinal cord compromise. The diagnosis was established by serologic studies consistent with chronic Q-fever (ratio of C burnetii immunoglobulin [Ig]G phase II titer to I...

A 6-year-old boy with a congenital bicuspid aortic valve presented with finger clubbing and hypertrophic osteoarthopathy, and subsequently he developed severe hypertension. The hypertension was successfully treated by nephrectomy, at which a thrombosed mycotic aneurysm of the renal artey was found. Echocardiography showed the presence of aortic valve vegetations. Blood cultures were sterile, bu...

A case of cardioaortic fistula, due to rupture of an aneurysm of a sinus of Valsalva into the right ventricle, is described. This case was diagnosed in life and treated surgically one year later when the patient was admitted to hospital with bacterial endocarditis. The clinical features are discussed and the role of special methods of investigation in the diagnosis of the condition is defined. ...