Intracranial Hemorrhagic Embolus
Publication date: Available online 2 December 2016 Source:Journal of Acute Disease Author(s): Yu-Hang Yeh, Yu-Jang Su A febrile and unconscious man was sent to our emergency department (ED). On physical examinations, some dark red ecchymosis/discoloration over the trunk and track mark in the left side groin region were seen. Brain computed tomography scan showed septic emboli complicated with hemorrhage. Chest X-ray revealed lungs emboli. Aortic valve vegetation was found by echocardiography. Although aggressive treatment and resuscitation, he died of MSSA (Methicillin-sensitive Staphylococcus aureus) sepsis and multiple organ failure. Intravenous drug users (IVDUs) are susceptible to right-sided infective endocarditis (IE), in our case, left-sided IE with lung, brain emboli resulted in fatality is relative uncommon. Review of literature was also made in this article.
CONCLUSIONS: Immunohistochemistry seems to be a promising option not only in clinical recognition, but also in the selection and monitoring of treatment effects. However, these methods have not yet recommended for routine clinical use. PMID: 33032462 [PubMed - as supplied by publisher]
Authors: Mantero V, Rigamonti A, Basilico P, Sangalli D, Scaccabarozzi C, Salmaggi A PMID: 33029982 [PubMed]
Authors: Kargiotis O, Safouris A, Psychogios K, Chondrogianni M, Andrikopoulou A, Theodorou A, Magoufis G, Stamboulis E, Tsivgoulis G PMID: 33029978 [PubMed]
CONCLUSIONS: Paramagnetic rims might be a characteristic MRI finding for MS, and therefore they have potential as an imaging marker for differentially diagnosing MS from NMOSD using 3-T MRI. PMID: 33029961 [PubMed]
Publication date: June 2019Source: Archives of Cardiovascular Diseases Supplements, Volume 11, Issue 3Author(s): A. Farah, O. Ben Abdeljelil, W. Jomaa, A. Gana, K. Ben Hamda, F. MaatoukIntroductionDespite all improvements in diagnostic imaging modalities and therapeutic regimens, Infective endocarditis remains a lethal disease especially in children. Stroke is an uncommon complication of endocarditis in children but it is an important cause of acquired brain injury which is associated with a higher mortality rate.MethodThis was a prospective study that included all children diagnosed with infective endocarditis (IE) and ho...
Publication date: January 2019Source: Archives of Cardiovascular Diseases Supplements, Volume 11, Issue 1Author(s): G. Charbonnier, Y. Lavie-Badie, G. Robin, F. Labaste, D. Eyharts, P. Fournier, E. Cariou, L. Porte, B. Marcheix, J. Porterie, E. Grunenwald, C. Cron, M. Galinier, O. LairezBackgroundNeurological complications of infective endocarditis (IE) concerns 20–40% of cases when symptomatic and 70% when asymptomatic. It is a well-identified gravity factor. Surgical indications in IE are larges and usual in emergency situations. However, neurological event, symptomatic or not, counts in surgical discussion. Sub-gr...
Conclusions:Intracranial macro- or micro-hemorrhages are seen in 73 (63%) persons with IE. The mortality of intracranial hemorrhage is high but the perioperative stroke risk appears low.Disclosure: Dr. Cho has nothing to disclose. Dr. Marquardt has nothing to disclose. Dr. Zhang has nothing to disclose. Dr. Thatikunta has nothing to disclose. Dr. Uchino has nothing to disclose. Dr. Wisco has nothing to disclose.
Authors: Hitzeroth J, Beckett N, Ntuli P Abstract Although infective endocarditis (IE) is relatively uncommon, it remains an important clinical entity with a high in-hospital and 1-year mortality. It is most commonly caused by viridans streptococci. Staphylococcus aureus is responsible for a malignant course of IE and often requires early surgery to eradicate. Other rarer causes are various bacilli, including the HACEK (Haemophilus, Actinobacillus,Cardiobacterium, Eikenella and Kingella spp.) group of organisms and fungi. The clinical presentation varies. Patients may present with a nonspecific illness, valve dysfu...
Conclusions: In patients with valvular IE complicated by ischemic stroke, early surgery is associated with an increased risk of operative mortality, with no observed benefit in 1-year survival.
Conclusions: Mortality in patients admitted to ICU for left-sided IE remains high, especially in cases of endocarditis due to methicillin resistant Staphylococcus aureus, when organ failures occur and ICU scores are high.