Neurologic complaints in a patient with infective endocarditis.
作者信息
Martindale Jennifer L, Hayden Emily M
机构信息
Department of Emergency Medicine, Massachusetts General Hospital, Division of Emergency Medicine, Harvard Medical School, Boston, Massachusetts 02114, USA.
出版信息
J Emerg Med. 2012 Dec;43(6):e429-33. doi: 10.1016/j.jemermed.2011.05.026. Epub 2011 Jul 16.
BACKGROUND
Infectious intracranial aneurysms constitute a small subgroup of all intracranial aneurysms, but are an important cause of neurologic complaints in patients with infective endocarditis.
OBJECTIVE
To describe a potentially fatal cause of neurologic complaints in patients with endocarditis.
CASE REPORT
We report a case of a 33-year-old woman with Streptococcus sanguinis endocarditis and several neurologic complaints including right arm numbness, confusion, and occasional word-finding difficulty that were found to be secondary to infectious intracranial aneurysm.
CONCLUSION
Early consideration of intracranial infectious aneurysm in patients with infective endocarditis and neurologic symptoms is critical. Therapeutic intervention is often effective, and risk of aneurysm rupture is high.
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