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Infective endocarditis complicated by cerebral abscess and mycotic intracranial aneurysm: A case report

Irfa Musthafa1, Devraj Kandel1, Kritisha Rajlawot1

  • 1Department of Radiodiagnosis and Imaging, Shahid Gangalal National Heart Centre, Bansbari, Kathmandu, Nepal.

Radiology Case Reports
|August 9, 2022
PubMed

Insights

Infective endocarditis can lead to serious neurological issues like brain abscesses. Prompt brain imaging is vital for diagnosing and treating these severe complications in patients with endocarditis.

Area of Science:

  • Cardiology
  • Neurology
  • Infectious Diseases

Background:

  • Infective endocarditis (IE) involves heart surface infections, often affecting valves and leading to severe complications.
  • Neurological complications of IE include stroke, intracranial abscesses, and mycotic aneurysms, posing significant risks.

Observation:

  • A 17-year-old female with known bacterial endocarditis presented with acute mental status decline, fever, and dizziness.
  • Brain CT revealed an intracranial abscess and a mycotic aneurysm, indicating serious neurological involvement.

Findings:

  • The case highlights the potential for rapid neurological deterioration in infective endocarditis patients.
  • Timely CT imaging is crucial for identifying intracranial abscesses and mycotic aneurysms.

Implications:

  • Early detection and management of neurological complications in IE are critical for patient prognosis.
  • Routine neurological assessment and prompt imaging are recommended for IE patients presenting with neurological symptoms.

Keywords:
CECT, Contrast Enhanced Computer TomographyCTA, Compted Tomography AngiographyContrast CT headIE, Infective EndocarditisInfective endocarditisIntracranial abscessMRI, Magnetic Resonance ImagingMycotic aneurysmNeurological complications

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