Aslani Averina O, Haryawan Zahran, Sabrawi Tania A, Wibowo Robin H, Dewi Aprilianasary U
Sumedang Regional General Hospital, Sumedang, West Java, Indonesia.
Ciamis Regional General Hospital, Ciamis, West Java, Indonesia.
Glob Cardiol Sci Pract. 2024 Jan 3;2024(1):e202402. doi: 10.21542/gcsp.2024.2.
Infective endocarditis (IE) is a rare, but potentially fatal, infectious disease. One of the common complications of IE is the embolization of endocardial vegetation with subsequent intracerebral artery obstruction that causes acute ischemic stroke. Herein, we present a case report of a patient presenting with a neurological manifestation that turned out to be a complication of IE.
We present the case of a patient with a chief complaint of left-sided hemiplegia. Blood test results revealed signs of infection. Computed tomography (CT) of the head revealed extensive infarction in the right lobe and subarachnoid hemorrhage. Echocardiography revealed vegetation on the aortic valve, suggesting that IE was the source of embolization. The patient was treated with high-dose ampicillin and gentamicin, supportive stroke therapy, and physical rehabilitation.
IE can be considered one of the causes of acute ischemic or hemorrhagic stroke. Ruling out other common causes of stroke and noticing signs of infection and vascular phenomena helps define the diagnosis. Echocardiography helps identify valvular vegetation to support the diagnosis. Treatment consists of high-dose penicillin and supportive therapy for stroke.
感染性心内膜炎（IE）是一种罕见但可能致命的传染病。IE的常见并发症之一是心内膜赘生物栓塞，随后导致脑动脉阻塞，引起急性缺血性中风。在此，我们报告一例以神经系统表现为特征的病例，结果发现是IE的并发症。
我们报告一例以左侧偏瘫为主诉的患者。血液检查结果显示有感染迹象。头部计算机断层扫描（CT）显示右叶广泛梗死和蛛网膜下腔出血。超声心动图显示主动脉瓣上有赘生物，提示IE是栓塞的来源。患者接受了大剂量氨苄青霉素和庆大霉素治疗、支持性中风治疗以及物理康复治疗。
IE可被视为急性缺血性或出血性中风的病因之一。排除其他常见的中风病因并注意感染迹象和血管现象有助于明确诊断。超声心动图有助于识别瓣膜赘生物以支持诊断。治疗包括大剂量青霉素和中风支持治疗。
