Takizawa Keita, Ozasa Kana, Matsumoto Kunihito, Nakata Jumi, Noma Noboru
Department of Oral Medicine, Nihon University School of Dentistry, Tokyo, JPN.
Division of Internal Medicine, Towa Hospital, Tokyo, JPN.
Cureus. 2022 Jul 12;14(7):e26791. doi: 10.7759/cureus.26791. eCollection 2022 Jul.
Secondary headache is a symptom of an underlying disease. Infective endocarditis (IE) is a serious infection of the heart tissue. Herein, we present a rare case of IE, with a secondary headache. The patient presented with persistent headache, fever of 39°C, myalgia, and painful erythema of the plantar surface of the foot. The headache progressively worsened over a few weeks. She was diagnosed with secondary headache, and sepsis was suspected. Blood culture revealed the presence of leading to a diagnosis of IE. Postoperatively, the patient recuperated without any complications. Headaches can be secondary to other conditions. Therefore, comprehensive assessment and accurate diagnosis are essential. Dentists must be aware that headache is a concomitant symptom of IE.
继发性头痛是潜在疾病的一种症状。感染性心内膜炎(IE)是心脏组织的一种严重感染。在此,我们报告一例罕见的伴有继发性头痛的感染性心内膜炎病例。患者表现为持续性头痛、39°C发热、肌痛以及足底疼痛性红斑。头痛在数周内逐渐加重。她被诊断为继发性头痛,并怀疑有败血症。血培养显示存在[此处原文缺失相关内容],从而确诊为感染性心内膜炎。术后,患者康复且无任何并发症。头痛可能继发于其他病症。因此,全面评估和准确诊断至关重要。牙医必须意识到头痛是感染性心内膜炎的伴随症状。