Ischemic Stroke Revealing Infective Endocarditis in a Young Subject: About a Clinical Case

Introduction: Neurological complications are possible during infective endocarditis. They are often life-threatening and can be a source of sequelae. Case Presentation: We report the case of an 11-year-old patient admitted to the cardiology department of the CHU-ME “LUXEMBOURG” in Bamako for functional impotence of the left hemibody, accompanied by fever and NYHA stage II dyspnea. The clinical examination on admission shows the poor general condition, normal consciousness, and sensory-motor deficit of the pyramidal type of the left hemibody. The cardiovascular examination notes a systolic murmur at the mitral focus, hepato-jugular reflux, hepatomegaly, and slight edema in the lower limbs. Brain CT showed localized hypodensity in favor of an ischemic stroke. The electrocardiogram shows a sinus rhythm. Transthoracic Doppler echocardiography revealed mitral insufficiency with vegetation of 17 × 14 mm on the anterior mitral valve, with left ventricular ejection fraction estimated at 75%. Dual antibiotic therapy associated with conventional treatment for heart failure was initiated. The clinical evolution was marked by the persistence of the deficit of the left upper limb, the cardiac Doppler echography of control after 6 weeks of treatment found the same vegetation. A discussion with the heart team with a view to a surgical cure has been initiated for the rest of the treatment. Conclusion: A motor deficit associated with fever related to an ischemic vascular accident should lead to a search for infective endocarditis on cardiac Doppler ultrasound.

Bacterial Endocarditis - REBEL EM - Emergency Medicine Blog

Zinner's Syndrome: A Confusing Diagnosis in the Face of Chronic Disabling Perineoscrotal Pain in the Young Subject, about a Case

Frontiers A Bayesian network-based approach for identifying risk factors and predicting ischemic stroke in infective endocarditis patients

Cardioembolic Stroke: Overview Cardioembolic Stroke, Overview of Cardiac Sources of Emboli, Overview of the Disease Process

PDF) Risk Factors and Causes of Ischemic Stroke in 1322 Young Adults

Cureus, Libman-Sacks Endocarditis Presenting as Acute Coronary Syndrome, Acute Heart Failure and Multiple Embolic Strokes

Endovascular treatment of ischemic large-vessel stroke due to infective endocarditis: case series and review of the literature

PDF) Digital Pathways, Pandemic Trajectories. Using Google Trends to Track Social Responses to COVID-19

One Case about the Diagnosis and Treatment of Right-Sided Infective Endocarditis without Any Inducement

Massama KONATÉ Research profile

Endocarditis - EMCrit Project

Cureus, A Case Series and Literature Review of Subacute Infective Endocarditis: A Clinical Challenge

Infective endocarditis: Clinical: Video & Anatomy

Stroke in young adults: Current trends, opportunities for prevention and pathways forward - ScienceDirect

PDF) Digital Pathways, Pandemic Trajectories. Using Google Trends to Track Social Responses to COVID-19