Academic Journal
Coma súbito como forma de presentación de la Endocarditis infecciosa
| العنوان: | Coma súbito como forma de presentación de la Endocarditis infecciosa |
|---|---|
| المؤلفون: | Pedro Magalhães, Raquel Torres, Rafaela Veríssimo |
| المصدر: | Galicia Clínica, Vol 85, Iss 1, Pp 25-27 (2024) |
| بيانات النشر: | Sociedade Galega de Medicina Interna, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine LCC:Internal medicine |
| مصطلحات موضوعية: | endocarditis infecciosa, coma súbito, embolización cerebral, Medicine, Internal medicine, RC31-1245 |
| الوصف: | This case reports an uncommon presentation of Infectious endocarditis following a late hip periprosthetic infection. Patient presented with sudden coma with no abnormal head CT images. Nonconvulsive status epilepticus and central nervous system infection were excluded as well as significant metabolic, electrolyte or hormonal causes of neurological disfunction. Brain MRI revealed multiple recent small ischemic lesions suggestive of an embolic source. Serial blood cultures, under antibiotics, were negative but transoesophageal echocardiogram revealed a tricuspid valve vegetation along with a thin and mobile atrial septum where patency of the oval foramen could not be ruled out. A diagnosis of infectious endocarditis was established. A sudden coma with no CT changes is, to the best of the authors’ knowledge and experience, a rare and previously undescribed presentation. This raises awareness that the diagnosis of brain septic emboli should be considered in the presence of sudden coma without other apparent causes. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Spanish; Castilian Galician Portuguese |
| تدمد: | 0304-4866 1989-3922 |
| Relation: | https://galiciaclinica.info/publicacion.asp?f=4041; https://doaj.org/toc/0304-4866; https://doaj.org/toc/1989-3922 |
| DOI: | 10.22546/72/4041 |
| URL الوصول: | https://doaj.org/article/aabba78e8b5749318b226c9587070bcb |
| رقم الانضمام: | edsdoj.bba78e8b5749318b226c9587070bcb |
| قاعدة البيانات: | Directory of Open Access Journals |
| تدمد: | 03044866 19893922 |
|---|---|
| DOI: | 10.22546/72/4041 |