感染性心内膜炎的双侧分水岭梗死

Soumya Sathyan, N. Abdul Kharim
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摘要

一位62岁男性,因终末期肾脏疾病而接受维持性血液透析,在夜间突然出现双侧下肢无力、意识模糊和定向障碍。调查显示血培养和超声心动图特征提示感染性心内膜炎耐甲氧西林金黄色葡萄球菌。脑成像显示双侧不同部位分水岭性梗死。
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Bilateral watershed infarcts in infective endocarditis
A 62-year-old male who is on maintenance hemodialysis for end-stage renal disease presented with sudden onset weakness of bilateral lower limbs, confusion, and disorientation overnight. Investigations revealed methicillin-resistant staphylococcus aureus in the blood culture and echocardiographic features suggestive of infective endocarditis. Imaging of brain revealed bilateral watershed infarcts in various sites.
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