Ischemic Stroke Revealing Infective Endocarditis in a Young Subject: About a Clinical Case

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.

Acute Ischemic Stroke (AIS) - EMCrit Project

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

Massama KONATÉ Research profile

JACC Journals on X: Stroke as a complication of infective #endocarditis after #TAVR occurred in 1 out of 10 patients (with endocarditis) and was associated with increased in-hospital and 1-year mortality. #

Septic-embolic encephalitis, Radiology Reference Article

Uncommon cases of stroke (Section 2) - More Case Studies in Stroke

Recurrent Transient Ischemic Attacks Revealing Cerebral Amyloid Angiopathy: A Comprehensive Case

Brain magnetic resonance imaging on day 3 of hospitalization revealed

Ischemic Stroke in Young Adults: Practical Diagnosis Guide

Histopathological examination of an embolus in infective endocarditis: Case report and review of the literature - ScienceDirect

PDF) Ischemic Stroke and Ruptured Mycotic Aneurysm, Two Complications of Infective Endocarditis in One Patient

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

Guidelines for the Early Management of Adults With Ischemic Stroke

PDF) Transthoracic echocardiogram in the evaluation of acute ischemic stroke of young adults

PDF) Digital Pathways, Pandemic Trajectories. Using Google Trends to Track Social Responses to COVID-19