Ischemic Stroke Revealing Infective Endocarditis in a Young

Introduction: Neurological complications are possible during infective endocarditis. They are often life-threatening and can be a source of sequelae. Case Presentation: We report the case of an 11-year-old patient admitted to the cardiology department of the CHU-ME “LUXEMBOURG” in Bamako for functional impotence of the left hemibody, accompanied by fever and NYHA stage II dyspnea. The clinical examination on admission shows the poor general condition, normal consciousness, and sensory-motor deficit of the pyramidal type of the left hemibody. The cardiovascular examination notes a systolic murmur at the mitral focus, hepato-jugular reflux, hepatomegaly, and slight edema in the lower limbs. Brain CT showed localized hypodensity in favor of an ischemic stroke. The electrocardiogram shows a sinus rhythm. Transthoracic Doppler echocardiography revealed mitral insufficiency with vegetation of 17 × 14 mm on the anterior mitral valve, with left ventricular ejection fraction estimated at 75%. Dual antibiotic therapy associated with conventional treatment for heart failure was initiated. The clinical evolution was marked by the persistence of the deficit of the left upper limb, the cardiac Doppler echography of control after 6 weeks of treatment found the same vegetation. A discussion with the heart team with a view to a surgical cure has been initiated for the rest of the treatment. Conclusion: A motor deficit associated with fever related to an ischemic vascular accident should lead to a search for infective endocarditis on cardiac Doppler ultrasound.

a.) Diagnostic delay between stroke and endocarditis; negative values

Hamidou Oumar Bâ's research works University of Sciences, Techniques and Technology of Bamako, Bamako and other places

PDF) Apert Syndrome : a Case Report in Sncu Shubhankar Mishra and Deepak Bhol

Ischaemic Stroke Complicating Infective Endocarditis: Microbleeds Are the Diagnostic Clue

Osler's Subacute Infective Endocarditis on Rheumatic Heart: A Complicated Clinical Case That Reflects Four (4) Major Public Health Issues in Sub-Saharan Africa

PDF) Double Emergency Pulmonary Embolism and Aortic Dissection: About a Clinical Case

JCM, Free Full-Text

Infective endocarditis Nature Reviews Disease Primers

Stroke in the Young Adults: 6-Year Case Series of Community Hospital Stroke Unit

Sonfo BOUBACAR Research profile

JCM, Free Full-Text

Samba Sidibé's research works

Signaling pathways involved in ischemic stroke: molecular mechanisms and therapeutic interventions