Septic cardioembolic stroke secondary to infective endocarditis in a young patient with rheumatic heart disease: a case report.

Autor: Buque HA; Department of Neurology, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, 1100, Mozambique., Namburete E; Department of Internal Medicine, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, Maputo, 1100, Mozambique., Vaz DC; Department of Neurology, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, 1100, Mozambique., Sebasteão FJ; Department of Neurology, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, 1100, Mozambique., Baduro Y; Department of Neurology, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, 1100, Mozambique., Rosales EL; Department of Neurology, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, 1100, Mozambique., Arroz N; Department of Neurology, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, 1100, Mozambique., Bacallao L; Department of Neurology, Maputo Central Hospital, 1653 Avenida Eduardo Mondlane, 1100, Mozambique., Pizzol D; Operational Research Unit, Doctors with Africa, Beira, Rua Fernao Mendez Pinto 165, Ponta Gea, Beira, 1363, Mozambique., Smith L; Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Young Street, Cambridge, Cambridgeshire CB1 2LZ, United Kingdom.
Jazyk: angličtina
Zdroj: Oxford medical case reports [Oxf Med Case Reports] 2024 Aug 06; Vol. 2024 (8), pp. omae083. Date of Electronic Publication: 2024 Aug 06 (Print Publication: 2024).
DOI: 10.1093/omcr/omae083
Abstrakt: 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.
Competing Interests: All authors declare no conflict of interest.
(© The Author(s) 2024. Published by Oxford University Press.)
Databáze: MEDLINE
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