DOI: 10.12890/2016_000535

Endocarditis, Meningitis and Pneumocystis Pneumonia

Authors

  • 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

filipadcs@gmail.com

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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References

  1. Habib G. Embolic risk in subacute bacterial endocarditis: role of transesophageal echocardiography. Curr Cardiol Rep 2003;5:129–136.
  2. Morris N, Marcelo M, Lyons J, Samuels M. Neurologic complications in infective endocarditis: identification, management and impact on cardiac surgery. Neurohospitalist 2014;4:213–222.
  3. Salehian O, Chan K. Systemic embolism in endocarditis: incidence, risk factors, clinical significance and treatment strategies. Endocarditis: diagnosis and management. 2th ed. Springer; 2016.
  4. Tahir H, Raza M, Daruwalla V, Khakwani Z. Acute embolic ischemic stroke as the sole presentation of subacute enterococcal endocarditis. Am J Med Case Rep 2016;4:212–215.
  5. Vilacosta I, Graupner C, San Román J, Sarriá C, Ronderos R, Fernández C. Risk of embolization after institution of antibiotic therapy for infective endocarditis. J Am Coll Cardiol 2002;39:1489–1495.
  6. Rajeev M, George J. Endovascular management of acute limb ischemia from septic emboli. Vasc Dis Manage 2013;10:E71–E74.

Published

2017-04-27

Issue

Vol. 4 No. 3 (2017)

How to Cite

1.
Silva F, Andrade S, Vilaça J, Paulo C, Conceição F. Endocarditis, Meningitis and Pneumocystis Pneumonia. EJCRIM [Internet]. 2017 Apr. 27 [cited 2026 Nov. 3];4(3). Available from: https://ejcrim.com/index.php/ejcrim/article/view/535

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