P. Snopek, J. Hasilla, L. Pátrovič, D. Juskanič, J. Benko, M. Samoš
{"title":"感染性心内膜炎并发脑栓塞1例","authors":"P. Snopek, J. Hasilla, L. Pátrovič, D. Juskanič, J. Benko, M. Samoš","doi":"10.33678/cor.2022.129","DOIUrl":null,"url":null,"abstract":"Symptomatic neurological complications occur in 15–30% of patients with infective endocarditis. At the same time, other clinically silent cerebral embolisms occur in 35–60% of patients. Staphylococcus aureus is the pathogen that causes nervous system involvement most frequently. We report a case of a 67-year- -old man with infective endocarditis following a dental procedure that manifested as spondylodiscitis and multiple brain embolization, including a brain abscess that required drainage. After six weeks of treatment with broad-spectrum antibiotics and complex supportive therapy, we discharged the patient in a satisfactory mental and somatic condition. The preparation of the patient for cardiac surgery is ongoing.","PeriodicalId":10787,"journal":{"name":"Cor et vasa","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Infective endocarditis complicated by brain embolism: a case report\",\"authors\":\"P. Snopek, J. Hasilla, L. Pátrovič, D. Juskanič, J. Benko, M. Samoš\",\"doi\":\"10.33678/cor.2022.129\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Symptomatic neurological complications occur in 15–30% of patients with infective endocarditis. At the same time, other clinically silent cerebral embolisms occur in 35–60% of patients. Staphylococcus aureus is the pathogen that causes nervous system involvement most frequently. We report a case of a 67-year- -old man with infective endocarditis following a dental procedure that manifested as spondylodiscitis and multiple brain embolization, including a brain abscess that required drainage. After six weeks of treatment with broad-spectrum antibiotics and complex supportive therapy, we discharged the patient in a satisfactory mental and somatic condition. The preparation of the patient for cardiac surgery is ongoing.\",\"PeriodicalId\":10787,\"journal\":{\"name\":\"Cor et vasa\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2023-06-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cor et vasa\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.33678/cor.2022.129\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CARDIAC & CARDIOVASCULAR SYSTEMS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cor et vasa","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33678/cor.2022.129","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
Infective endocarditis complicated by brain embolism: a case report
Symptomatic neurological complications occur in 15–30% of patients with infective endocarditis. At the same time, other clinically silent cerebral embolisms occur in 35–60% of patients. Staphylococcus aureus is the pathogen that causes nervous system involvement most frequently. We report a case of a 67-year- -old man with infective endocarditis following a dental procedure that manifested as spondylodiscitis and multiple brain embolization, including a brain abscess that required drainage. After six weeks of treatment with broad-spectrum antibiotics and complex supportive therapy, we discharged the patient in a satisfactory mental and somatic condition. The preparation of the patient for cardiac surgery is ongoing.