Unveiling the mystery: Infective endocarditis as an etiological cause of recurrent intracranial hemorrhage

Pub Date : 2024-04-25 DOI:10.25259/jnrp_35_2024
Sangeeth Thuppanattumadam Ananthasubramanian, S. Nashi, A. Taallapalli, Haripriya Krishna Reddy, F. Arshad, P. Srijithesh, Girish Baburao Kulkarni, S. Alladi
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Abstract

Intracerebral hemorrhage (ICH) in the context of infective endocarditis (IE) is an uncommon and complex phenomenon involving diverse underlying mechanisms. We present a compelling case of a 48-year-old patient with recurrent ICH, ultimately leading to the diagnosis of IE with vegetation on the anterior leaflet of the mitral valve. The patient underwent a successful mitral valve replacement followed by a gradual improvement in neurological symptoms. This case report delves into the intricate diagnostic journey, highlighting the significance of suspecting IE in patients presenting with ICH. A multidisciplinary and comprehensive management approach played a pivotal role in achieving positive outcomes.
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揭开神秘面纱:感染性心内膜炎是复发性颅内出血的病因之一
感染性心内膜炎(IE)引起的脑内出血(ICH)是一种不常见的复杂现象,其潜在机制多种多样。我们介绍了一例令人信服的病例,患者 48 岁,反复发生 ICH,最终被诊断为二尖瓣前叶植被感染 IE。患者成功接受了二尖瓣置换术,随后神经症状逐渐改善。本病例报告深入探讨了复杂的诊断过程,强调了在出现 ICH 的患者中怀疑 IE 的重要性。多学科综合管理方法在取得积极疗效方面发挥了关键作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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