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Internal Carotid Artery Occlusion as a Rare Presentation of Infectious Endocarditis: A Case Report
Thijs Wolf1, Kayla Dewey1, David Adler1
1University of Rochester Medical Center, Strong Memorial Hospital, Division of Emergency Medicine, Rochester, New York.
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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