Internal Carotid Artery Occlusion as a Rare Presentation of Infectious Endocarditis: A Case Report

Autor: Thijs Wolf, Kayla Dewey, David Adler
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 7, Iss 3 (2023)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.1489
Popis: Introduction: Internal carotid artery occlusion as a result of a septic embolism is a rare, commonly fatal, complication of mitral valve infectious endocarditis. Prompt recognition of this condition by the emergency physician may improve the chance of functional neurological survival. Case Report: A 50-year-old male presented minimally responsive with a right gaze deviation, left hemiparesis, and a score of 26 on the National Institutes of Health Stroke Scale. A point-of-care echocardiogram showed a large mitral valve vegetation, and computed tomography angiography demonstrated an internal carotid artery occlusion. Conclusion: The emergency physician should consider this potentially life-threatening condition and know the fundamental management recommendations once identified.
Databáze: Directory of Open Access Journals