Prevalencia de las complicaciones neurológicas en la endocarditis infecciosa

Vasculitis and cerebral hemorrhage due to Streptococcus gordonii infectious endocarditis: A case report

“… 10 Up to 80% of cases are caused by Gram-positive bacteria such as S. aureus , viridans streptococci, and enterococci. 1 Even though most symptoms the patient had are usually described in IE literature, 10 it is remarkable that no recent literature mentions neuropsychiatric symptoms, 3 which were described in the subacute onset of the disease in our patient. Other studies have described neuropsychiatric symptoms with a 2% frequency.…”

“…The embolism risk is higher in the following situations: left-sided vegetation and anterior leaflet of the mitral valve involvement, vegetations larger than 10 mm, delayed antibiotic therapy onset, and positive blood cultures for S. aureus and S. bovis . 2 , 3 …”

“…CNS signs or symptoms, present in up to 55% of patients, 2 include: encephalopathy, seizures, stroke (both ischemic and hemorrhagic), cerebral abscess, meningitis, and infectious aneurysms (also known as mycotic aneurysms). 3 These infectious aneurysms, or blood vessel wall damage through an immune-mediated phenomena, could precede an hemorrhagic stroke, 4 being both events of interest for the present work.…”