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Mycotic brain aneurysm and cerebral hemorrhagic stroke: a pediatric case report

Filipa Flor-de-Lima1, Lurdes Lisboa, António Sarmento

  • 1Pediatric Intensive Care Unit, São João Hospital, Porto, Portugal. filipa.flordelima@gmail.com

European Journal of Pediatrics
|May 21, 2013
PubMed

Insights

Abiotrophia endocarditis is a rare but serious infection, often leading to treatment failure and mortality. This case highlights a rare complication in an adolescent: a mycotic brain aneurysm rupture causing hemorrhagic stroke.

Area of Science:

  • Cardiology
  • Neurology
  • Infectious Diseases

Background:

  • Endocarditis caused by Abiotrophia species is infrequently diagnosed.
  • This infection is frequently linked to negative blood cultures, recurrent infections, and poor treatment outcomes, including high mortality rates.

Observation:

  • The authors report a rare case involving an adolescent patient.
  • The patient presented with a cerebral hemorrhagic stroke.

Findings:

  • The stroke was attributed to the rupture of a mycotic brain aneurysm.
  • This represents a severe neurological complication of Abiotrophia endocarditis.

Implications:

  • This case underscores the potential for severe neurological complications in Abiotrophia endocarditis.
  • Early recognition and aggressive management are crucial for improving outcomes in these rare but devastating infections.

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