Internal Carotid Artery Occlusion as a Rare Presentation of Infectious Endocarditis: A Case Report

INTRODUCTION: Internal carotid artery occlusion as a result of a septic embolism is a rare, commonly fatal, complication of mitral valve infectious endocarditis. Prompt recognition of this condition by the emergency physician may improve the chance of functional neurological survival. CASE REPORT: A...

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Detalles Bibliográficos
Autores principales: Wolf, Thijs, Dewey, Kayla, Adler, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10438929/
https://www.ncbi.nlm.nih.gov/pubmed/37595296
http://dx.doi.org/10.5811/cpcem.1489
Descripción
Sumario:INTRODUCTION: Internal carotid artery occlusion as a result of a septic embolism is a rare, commonly fatal, complication of mitral valve infectious endocarditis. Prompt recognition of this condition by the emergency physician may improve the chance of functional neurological survival. CASE REPORT: A 50-year-old male presented minimally responsive with a right gaze deviation, left hemiparesis, and a score of 26 on the National Institutes of Health Stroke Scale. A point-of-care echocardiogram showed a large mitral valve vegetation, and computed tomography angiography demonstrated an internal carotid artery occlusion. CONCLUSION: The emergency physician should consider this potentially life-threatening condition and know the fundamental management recommendations once identified.

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