Naslov
Hemorrhagic stroke caused by bacterial endocarditis: a case report

Autori
Borić, Marijan ; Britvar, Martina ; Papišta, Dino ; Jutriša, Ivona ; Meštrović, Andrija ; Sičaja, Gordana ; Budinčević, Hrvoje

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
OSCON, Book of abstracts / Pavlović, Vedrana - Osijek : Faculty of Medicine Osijek, The J.J. Strossmayer University of Osijek, 2023, 46-46

Skup
OSCON 2023, International Translational Medicine Congress of Students and Young Physicians

Mjesto i datum
Osijek, Hrvatska, 30.03.2023. - 01.04.2023

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
bacterial endocarditis ; endocarditis ; hemorrhagic stroke ; stroke

Sažetak
Introduction: Stroke is a serious life-threatening medical condition that occurs when the blood supply to part of the brain is cut off. Endocarditis is a rare and potentially fatal infection of the inner lining of the heart and it is most commonly caused by bacteria. Case report: We present a case of a 41-year-old male who presented himself with fever and confusion. Blood tests revealed elevated C-reactive protein and liver enzymes. Neurological examination did not show pathological signs. Computed tomography of the brain showed left occipital intracerebral hematoma with frontotemporal subarachnoid hemorrhage. During hospitalization he became septic with tachycardia and developed icteruse. Echocardiography showed a floating formation in the area of the posterior cuspis of the mitral valve with consequent significant mitral regurgitation. Staphylococcus aureus was isolated in blood culture. An infectious disease specialist was consulted and targeted antibiotic therapy with ceftriaxone and fluoxacilline was started. In the meantime he developed peripheral edema. A follow- up magnetic resonance imaging of the brain revealed brain abscesses localized left occipital in the area of previous intracerebral hemorrhage and right frontal. Cardiac surgeon was consulted and a transfer was planned for operative treatment of mitral valve vegetations. Further regression of the described lesions was monitored with brain magnetic resonance. Conclusion: Septic emboli can lead to the formation of brain abscesses. In our case, infective endocarditis was initially manifested by an intracerebral hematoma underlying a septic embolism, which should be considered in febrile patients.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA