Oudghiri N, Faroudy M, Mosadik A, Sbihi S, Ababou A, Lazreq C, Sbihi A
Réanimation des urgences chirurgicales, hôpital Ibn-Sina, Rabat, Maroc.
Ann Fr Anesth Reanim. 2006 Jan;25(1):36-9. doi: 10.1016/j.annfar.2005.08.016. Epub 2005 Nov 3.
Neurological complications occur in approximately 30% of all patients with infective endocarditis and represent a major factor associated with an increased mortality rate. Third of these complications is represented by cerebral embolism, followed by mycotic aneurysm, meningitis or meningoencephalitis. Brain abscesses are rare; their localization to the cerebellum is exceptional. A case of cerebellum abscess occurring in a 34-year-old patient with non-operated corrected transposition of the great arteries is reported. Occurrence of this abscess was the first demonstration of undiagnosed infective endocarditis.
在所有感染性心内膜炎患者中,约30%会出现神经系统并发症,这是死亡率增加的一个主要相关因素。这些并发症中三分之一表现为脑栓塞,其次是真菌性动脉瘤、脑膜炎或脑膜脑炎。脑脓肿罕见;其位于小脑的情况更是异常。本文报告了一例发生在一名34岁大动脉转位矫正术后未手术患者的小脑脓肿病例。该脓肿的出现是未被诊断出的感染性心内膜炎的首次表现。