Mycotic aneurysm of the posterior tibial artery complicating subacute bacterial endocarditis: Antemortem diagnosis confirmed by instrumental means

1947 ◽  
Vol 34 (5) ◽  
pp. 764-765
Author(s):  
Bellet
2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Chao Jiang ◽  
Haibin Lu ◽  
Yaoqiang Guo ◽  
Li Zhu ◽  
Tianqi Luo ◽  
...  

Blood culture-negative endocarditis is often severe and difficult to diagnose. It is necessary to emphasize the importance for the early diagnosis and accurate treatment of blood culture-negative endocarditis. Here, we described the relevant clinical information of a blood culture-negative but clinically diagnosed infective endocarditis complicated by intracranial mycotic aneurysm, brain abscess, and posterior tibial artery pseudoaneurysm. This patient was a 65-year-old man with a 9-month history of intermittent fever and died in the end for the progressive neurological deterioration. Although the blood culture is negative, this patient was clinically diagnosed as infective endocarditis according to Duke criteria. This patient course was complicated not only by cerebral embolism, intracranial mycotic aneurysm, and brain abscess but also by posterior tibial artery aneurysm of the lower extremity. The clinical findings of this patient suggest that the confirmatory microbiology is essential for the treatment of blood culture-negative infective endocarditis. Clinicians should be aware of the detriment of blood culture-negative infective endocarditis for its multiple complications may occur in one patient. The delayed etiological diagnosis and insufficient treatment may aggregate the clinical outcome of blood culture-negative infective endocarditis.


2016 ◽  
Vol 25 (2) ◽  
pp. 37-42
Author(s):  
Sujin Bahk ◽  
SeungHwan Hwang ◽  
Chan Kwon ◽  
Euicheol C. Jeong ◽  
Su Rak Eo

2020 ◽  
Vol 37 (4) ◽  
pp. 671-680
Author(s):  
William C. Perry ◽  
Suhail Masadeh ◽  
Alessandro Thione

1987 ◽  
Vol 76 (3) ◽  
pp. 394-397
Author(s):  
Satoshi MONNO ◽  
Eiji TSUGANE ◽  
Haruhiko IMAI ◽  
Ken-ichi FURUKAWA ◽  
Shigeyuki KUMAZAWA ◽  
...  

2021 ◽  
Vol 14 (3) ◽  
pp. e240349
Author(s):  
Eli Kisilevsky ◽  
Nataly Pesin ◽  
Daniel Mandell ◽  
Edward A Margolin

We describe a case of subacute bacterial endocarditis and mycotic brain aneurysm caused by Rothia dentocariosa due to untreated dental caries. R. dentocariosa is a rare cause of endocarditis that has a high incidence of aneurysmal and haemorrhagic complications. All patients with intracranial aneurysms who have signs of systemic infection should be considered to have mycotic aneurysms until proven otherwise. Dental habits should be included in regular medical assessment and dental care should be considered for patients presenting with infectious symptoms.


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