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Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy

Infectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembol...

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Autores principales: Kahn, David Ethan, O'Phelan, Kristine, Bullock, Ross
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010061/
https://www.ncbi.nlm.nih.gov/pubmed/24826319
http://dx.doi.org/10.1155/2011/428729
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author Kahn, David Ethan
O'Phelan, Kristine
Bullock, Ross
author_facet Kahn, David Ethan
O'Phelan, Kristine
Bullock, Ross
author_sort Kahn, David Ethan
collection PubMed
description Infectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembolism with hemorrhagic transformation, septic emboli, and mycotic aneurysms. We present a case of a patient who was admitted for routine evaluation and pain management of lumbar radiculopathy, who developed a large intraparenchymal hemorrhage and was found to have bacterial endocarditis. This was diagnosed retrospectively from positive hematoma cultures and a vegetation on transesophageal echocardiogram. Further evaluation revealed a mycotic aneurysm.
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spelling pubmed-40100612014-05-13 Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy Kahn, David Ethan O'Phelan, Kristine Bullock, Ross Case Rep Crit Care Case Report Infectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembolism with hemorrhagic transformation, septic emboli, and mycotic aneurysms. We present a case of a patient who was admitted for routine evaluation and pain management of lumbar radiculopathy, who developed a large intraparenchymal hemorrhage and was found to have bacterial endocarditis. This was diagnosed retrospectively from positive hematoma cultures and a vegetation on transesophageal echocardiogram. Further evaluation revealed a mycotic aneurysm. Hindawi Publishing Corporation 2011 2011-07-24 /pmc/articles/PMC4010061/ /pubmed/24826319 http://dx.doi.org/10.1155/2011/428729 Text en Copyright © 2011 David Ethan Kahn et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kahn, David Ethan
O'Phelan, Kristine
Bullock, Ross
Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_full Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_fullStr Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_full_unstemmed Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_short Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_sort infectious endocarditis presenting as intracranial hemorrhage in a patient admitted for lumbar radiculopathy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010061/
https://www.ncbi.nlm.nih.gov/pubmed/24826319
http://dx.doi.org/10.1155/2011/428729
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