Schold C, Earnest M P
Stroke. 1978 May-Jun;9(3):267-8. doi: 10.1161/01.str.9.3.267.
A patient with bacterial endocarditis had headaches, cerebrospinal fluid pleocytosis and normal cerebral angiograms. Fifteen days later, while on appropriate antibiotic therapy, he developed an intracerebral hematoma due to a mycotic aneurysm. Mycotic aneurysm is an infrequent but serious complication of bacterial endocarditis. An aneurysm should be considered whenever a patient with bacterial endocarditis has neurologic symptoms even when the patient is receiving antibiotics.
一名患有细菌性心内膜炎的患者出现头痛、脑脊液细胞增多，而脑血管造影正常。15天后，在接受适当抗生素治疗期间，他因霉菌性动脉瘤形成了脑内血肿。霉菌性动脉瘤是细菌性心内膜炎罕见但严重的并发症。每当患有细菌性心内膜炎的患者出现神经症状时，即使患者正在接受抗生素治疗，也应考虑动脉瘤的存在。
