Fellowship in Geriatrics and Gerontology, University of Milan, Milan, Italy.
Geriatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Age Ageing. 2022 Nov 2;51(11). doi: 10.1093/ageing/afac238.
More than one-third of the cases of infective endocarditis (IE) occur in older patients. The disease is often characterized by atypical symptoms. The incidence of neurological complications is high and represents a strong independent predictor of severe outcomes and mortality. IE is a rare but serious complication of transcatheter aortic valve implantation (TAVI). A persistent delirium as a unique manifestation of post-TAVI IE in an older patient is presented in this clinical case.
超过三分之一的感染性心内膜炎（IE）病例发生在老年患者中。该病常表现为非典型症状。神经并发症的发生率较高，是严重结局和死亡的强有力独立预测因素。IE 是经导管主动脉瓣植入术（TAVI）的罕见但严重的并发症。本文报道了 1 例老年患者 TAVI 后以持续性意识模糊为唯一表现的 IE。
