Buque Helena Agostingo, Namburete Evangelina, Vaz Deise Catamo, Sebasteão Frederico João, Baduro Yanina, Rosales Elder Lorenzo, Arroz Nachan, Bacallao Lazara, Pizzol Damiano, Smith Lee
Department of Neurology, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, 1100, Mozambique.
Department of Internal Medicine, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, Maputo, 1100, Mozambique.
Oxf Med Case Reports. 2024 Aug 6;2024(8):omae083. doi: 10.1093/omcr/omae083. eCollection 2024 Aug.
The risk of stroke due to infective endocarditis is particularly high during the first week. Moreover, in low-resource settings where imaging access is limited, and diagnostic pathways are inaccurate the risk further increases. In addition to antibiotic therapy, treatment may include intravenous thrombolysis, with high risk of hemorrhagic complications in patients with infective endocarditis or mechanical thrombectomy. We report here a case of a 24-year-old male with rheumatic heart disease presenting a septic cardioembolic stroke secondary to infective endocarditis that was successfully treated in a low-resource setting.
感染性心内膜炎导致中风的风险在第一周尤为高。此外，在资源匮乏地区，由于影像学检查受限且诊断途径不准确，风险会进一步增加。除抗生素治疗外，治疗可能包括静脉溶栓，但感染性心内膜炎患者或进行机械取栓术时出血并发症风险较高。我们在此报告一例24岁患有风湿性心脏病的男性患者，其因感染性心内膜炎继发感染性心源性栓塞性中风，在资源匮乏地区成功得到治疗。
