Arias Velásquez César Augusto, Quiroz Álvarez Juan Esteban, Urrego Callejas Tomás
Emergency Department, Hospital Pablo Tobón Uribe, Medellín, Colombia.
SAGE Open Med Case Rep. 2024 Jan 29;12:2050313X241228410. doi: 10.1177/2050313X241228410. eCollection 2024.
Infective endocarditis is an infection of the heart with systemic consequences, both infectious and non-infectious. Infective endocarditis can affect several systems, one of which is the central nervous system. The most common form of presentation is ischemic stroke; however, intracranial hemorrhage can occur due to immune-mediated damage to the vessel wall. The former further complicates cardiac surgical procedures when necessary. We present here the case of a 21-year-old male patient, with no personal medical history, who presented with intracranial hemorrhage due to a vasculitis phenomenon, caused by infective endocarditis. The patient underwent emergency drainage of the intracranial hemorrhage and minimally invasive valve surgery in 17 days, with satisfactory postoperative recovery and follow-up.
感染性心内膜炎是一种累及心脏并产生全身影响(包括感染性和非感染性影响)的疾病。感染性心内膜炎可影响多个系统,其中之一是中枢神经系统。最常见的表现形式是缺血性卒中;然而,由于血管壁的免疫介导损伤,也可能发生颅内出血。前者在必要时会使心脏外科手术进一步复杂化。我们在此介绍一名21岁男性患者的病例,该患者无个人病史,因感染性心内膜炎引起的血管炎现象而出现颅内出血。患者在17天内接受了颅内出血的紧急引流和微创瓣膜手术,术后恢复及随访情况良好。