Endocarditis, Meningitis and Pneumocystis Pneumonia

  • Filipa Silva Internal Medicine Department, Centro Hospitalar São João, Porto
  • Sérgio Andrade Intermediate Care Unit of Emergency Department, Centro Hospitalar de São João, Porto
  • João Vilaça Intermediate Care Unit of Emergency Department, Centro Hospitalar de São João, Porto
  • Cristiana Paulo Intermediate Care Unit of Emergency Department, Centro Hospitalar de São João, Porto
  • Filipe Conceição Intermediate Care Unit of Emergency Department, Centro Hospitalar de São João, Porto
Keywords: infective endocarditis, complications, embolic stroke, acute limb ischemia, meningitis

Abstract

Infective endocarditis (IE) is associated with high morbidity and mortality despite advances in antibiotic and surgical treatment. Systemic embolism occurs in up to 49% of IE patients and may involve the major arteries, limb arteries, viscera and the central nervous system. In this report we describe a 60-year-old female patient with a history of acute lymphoblastic leukaemia who presented with endocarditis manifesting as stroke, acute limb ischaemia and meningitis. Early diagnosis is essential since treatment lowers the risk of embolism, with most events occurring within 2 weeks of treatment initiation.

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  • Published: 2017-04-27

    Issue: Vol 4 No 3 (view)

    Section: Articles

    How to cite:
    Silva, F., Andrade, S., Vilaça, J., Paulo, C., & Conceição, F. (2017). Endocarditis, Meningitis and Pneumocystis Pneumonia. European Journal of Case Reports in Internal Medicine, 4(3). https://doi.org/https://doi.org/10.12890/2016_000535