Related Experiment Video
Updated: Sep 10, 2025
06:58
Non-restraining EEG Radiotelemetry: Epidural and Deep Intracerebral Stereotaxic EEG Electrode Placement
Published on: June 25, 2016
19.3K
Case Report: A man with septic shock developed convulsions.
Linxiang Huang1, Peiliang Gao2, Xueying Fu2
1Peking University Hepatology Institute, Peking University People's Hospital, Beijing, China.
Frontiers in Medicine
|August 27, 2025
Summary
Infective endocarditis (IE) can cause varied embolic events, including neurological symptoms. Prompt diagnosis with repeated echocardiography is crucial for identifying valve vegetations and guiding treatment in bloodstream infections.
Area of Science:
- Cardiology
- Neurology
- Infectious Diseases
Background:
- Infective endocarditis (IE) presents with diverse embolic manifestations, often leading to misdiagnosis.
- Prompt identification of IE is critical for preventing severe complications like stroke.
Observation:
- A 67-year-old male with erysipelas and septic shock developed blurred vision, convulsions, and multiple cerebral infarctions.
- Initial echocardiography was negative for valve vegetations and patent foramen ovale.
- Subsequent echocardiography after neurological onset revealed mitral valve vegetations.
Findings:
- IE should be suspected in patients with bloodstream infections presenting with new arterial occlusion symptoms.
- Repeated echocardiography is essential for diagnosing IE when initial tests are inconclusive.
- A long-acting penicillin G injection served as an alternative therapy for early discharge.
Implications:
- This case highlights the importance of considering IE in patients with unexplained neurological events and bloodstream infections.
- Timely and repeated diagnostic imaging can significantly alter patient management and outcomes.
- Alternative antibiotic strategies may be considered for patients with financial constraints necessitating early discharge.
Related Concept Videos
01:13Seizures: Classification
586
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
586
01:24Blood Pressure Imbalances and Circulatory Shock
999
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
999
01:24Epilepsy and Seizures: Overview
277
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
277
01:30Electroconvulsive Therapy
185
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
185
01:22Aneurysm IV: Nursing Management
20
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
20