Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
Infectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembol...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2011/428729 |
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| _version_ | 1832562711496491008 |
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| author | David Ethan Kahn Kristine O'Phelan Ross Bullock |
| author_facet | David Ethan Kahn Kristine O'Phelan Ross Bullock |
| author_sort | David Ethan Kahn |
| collection | DOAJ |
| description | Infectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembolism with hemorrhagic transformation, septic emboli, and mycotic aneurysms. We present a case of a patient who was admitted for routine evaluation and pain management of lumbar radiculopathy, who developed a large intraparenchymal hemorrhage and was found to have bacterial endocarditis. This was diagnosed retrospectively from positive hematoma cultures and a vegetation on transesophageal echocardiogram. Further evaluation revealed a mycotic aneurysm. |
| format | Article |
| id | doaj-art-ed6744c0832f47c5b53a62790bb23402 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-ed6744c0832f47c5b53a62790bb234022025-02-03T01:21:59ZengWileyCase Reports in Critical Care2090-64202090-64392011-01-01201110.1155/2011/428729428729Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar RadiculopathyDavid Ethan Kahn0Kristine O'Phelan1Ross Bullock2Miller School of Medicine University of Miami, Department of Neurology, Clinical Research Building, 1120 NW 14th Street, 13th Floor, Miami, FL 33136, USAMiller School of Medicine University of Miami, Department of Neurology, Clinical Research Building, 1120 NW 14th Street, 13th Floor, Miami, FL 33136, USAJackson Memorial Hospital, Department of Neurosurgery, 1095 NW 14th Ter No. 2, Miami, FL 33136-1060, USAInfectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembolism with hemorrhagic transformation, septic emboli, and mycotic aneurysms. We present a case of a patient who was admitted for routine evaluation and pain management of lumbar radiculopathy, who developed a large intraparenchymal hemorrhage and was found to have bacterial endocarditis. This was diagnosed retrospectively from positive hematoma cultures and a vegetation on transesophageal echocardiogram. Further evaluation revealed a mycotic aneurysm.http://dx.doi.org/10.1155/2011/428729 |
| spellingShingle | David Ethan Kahn Kristine O'Phelan Ross Bullock Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy Case Reports in Critical Care |
| title | Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy |
| title_full | Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy |
| title_fullStr | Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy |
| title_full_unstemmed | Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy |
| title_short | Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy |
| title_sort | infectious endocarditis presenting as intracranial hemorrhage in a patient admitted for lumbar radiculopathy |
| url | http://dx.doi.org/10.1155/2011/428729 |
| work_keys_str_mv | AT davidethankahn infectiousendocarditispresentingasintracranialhemorrhageinapatientadmittedforlumbarradiculopathy AT kristineophelan infectiousendocarditispresentingasintracranialhemorrhageinapatientadmittedforlumbarradiculopathy AT rossbullock infectiousendocarditispresentingasintracranialhemorrhageinapatientadmittedforlumbarradiculopathy |