Reisecker F, Dejaco R M
Wien Med Wochenschr. 1984 Jun 30;134(12):292-4.
Bacterial endocarditis is a rare cause of brain infarction. Prediposing factors are frequently valvular defects secondary to rheumatic conditions. A slowly progressive course and atypical symptoms of the disease can mask the condition to such an extent that the correct diagnosis is obtained only through the work up of secondary embolic complications. Modern antibiotic combinations therapy yields a cure in 98% of the cases. The problems obtaining the diagnosis and the course of the disease with antibiotic therapy will be demonstrated in a case of embolic brain infarction secondary to bacterial endocarditis.
细菌性心内膜炎是脑梗死的罕见病因。易感因素通常是风湿性疾病继发的瓣膜缺陷。该病病程进展缓慢且症状不典型，可能会极大地掩盖病情，以至于只有通过对继发性栓塞并发症的检查才能做出正确诊断。现代抗生素联合疗法在98%的病例中可实现治愈。本文将通过一例细菌性心内膜炎继发栓塞性脑梗死的病例展示诊断过程及抗生素治疗的病程。
