Infective Endocarditis Presenting as Intracranial Hemorrhage: A Case Report.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-09-10 eCollection Date: 2024-09-01 DOI:10.7759/cureus.69082
Divya Singh, Francesca Pastrana, Laura Polhemus, Hanan Qaqish, Wilson Rodriguez, Fajun Wang
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Abstract

We describe a 31-year-old woman who presented with acute right-sided weakness and was found to have a subarachnoid hemorrhage in the left Sylvian fissure and an ipsilateral frontal intraparenchymal hemorrhage. CT angiography revealed an occlusion of the left middle cerebral artery's M1 segment and a saccular aneurysm at its bifurcation. A cerebral angiogram confirmed these findings, and the patient subsequently underwent microsurgical aneurysm resection, which revealed a partially thrombosed pseudoaneurysm. Further stroke workup identified mitral valve vegetation, confirming the diagnosis of infective endocarditis.

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以颅内出血为表现的感染性心内膜炎:病例报告。
我们描述了一名因急性右侧肢体无力而就诊的 31 岁女性,她被发现左侧 Sylvian 裂隙蛛网膜下腔出血和同侧额叶脑膜内出血。CT 血管造影显示左侧大脑中动脉 M1 段闭塞,其分叉处有一个囊状动脉瘤。脑血管造影证实了这些发现,患者随后接受了显微外科动脉瘤切除术,术中发现了部分血栓形成的假性动脉瘤。进一步的卒中检查发现了二尖瓣植被,确诊为感染性心内膜炎。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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