scholarly journals Mycotic aneurysms of the intracranial and peripheral circulation: A rare complication of bacterial endocarditis

2014 ◽  
Vol 17 (1) ◽  
pp. 82
Author(s):  
RajendraSingh Jain ◽  
Tarun Mathur ◽  
Trilochan Srivastava ◽  
Rahul Jain ◽  
RaghavendraBakki Sannegowda
Keyword(s):  
Rare Complication ◽  
Peripheral Circulation ◽  
Bacterial Endocarditis ◽  
Mycotic Aneurysms

Rothia dentocariosa causing intracranial mycotic aneurysm and ischaemic stroke

2021 ◽  
Vol 14 (3) ◽  
pp. e240349
Author(s):  
Eli Kisilevsky ◽  
Nataly Pesin ◽  
Daniel Mandell ◽  
Edward A Margolin
Keyword(s):  
Intracranial Aneurysms ◽  
Mycotic Aneurysm ◽  
Systemic Infection ◽  
Bacterial Endocarditis ◽  
Medical Assessment ◽  
Subacute Bacterial Endocarditis ◽  
Brain Aneurysm ◽  
High Incidence ◽  
Mycotic Aneurysms ◽  
Untreated Dental Caries

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.

Endovascular Coil Embolisation of Metachronous Mycotic Aneurysms

1998 ◽  
Vol 4 (2) ◽  
pp. 143-150 ◽  
Author(s):  
T.C. Roth ◽  
J.C. Chaloupka ◽  
P.N. Bowers ◽  
S.B. Berger ◽  
D.A. Wecht ◽  
...  
Keyword(s):  
Therapeutic Strategy ◽  
Operative Management ◽  
Bacterial Endocarditis ◽  
Mitral Insufficiency ◽  
Teenage Girl ◽  
Coil Embolisation ◽  
Subacute Bacterial Endocarditis ◽  
Short Term ◽  
Mycotic Aneurysms ◽  
Vertebrobasilar Circulation

While receiving optimal antibiotic therapy for subacute bacterial endocarditis (SBE), a teenage girl with mild congenital mitral insufficiency presented with two separate episodes of subarachnoid haemorrhage from two rapidly evolving metachronous mycotic aneurysms within the vertebrobasilar circulation. Both aneurysms were successfully treated by endovascular coil embolisation with the GDC system. This permitted at the minimum, successful amelioration of the short term risk of rerupture of the aneurysms, and facilitated operative management of the patient's infected mitral valve. The case further illustrates the utility and effectiveness of endovascular therapy for managing not only the neurovascular sequelae of SBE, but also perhaps the enhanced ability to optimally manage the source of mycotic aneurysms. In addition, the potential limitations and risks of this therapeutic strategy are assessed.

Mycotic aneurysm of the superior gluteal artery in a patient with bacterial endocarditis: case report and review of the literature

Vascular ◽  
2011 ◽  
Vol 19 (1) ◽  
pp. 47-50 ◽  
Author(s):  
Naoki Fujimura ◽  
Hideaki Obara ◽  
Kenji Matsumoto ◽  
Yuko Kitagawa
Keyword(s):  
Mycotic Aneurysm ◽  
Preoperative Evaluation ◽  
Ct Scanning ◽  
Bacterial Endocarditis ◽  
Review Of The Literature ◽  
Safe Alternative ◽  
Selective Embolization ◽  
Superior Gluteal Artery ◽  
Mitral Valve Plasty ◽  
Mycotic Aneurysms

Mycotic aneurysm of the superior gluteal artery (SGA) is extremely rare. The review of the literature revealed only five cases of mycotic SGA aneurysms reported to date and none had a concomitant superior mesenteric artery (SMA) aneurysm. We describe a 64-year-old man with mycotic aneurysms of both the SGA and the SMA. The patient was referred to our hospital because of SMA embolism caused by bacterial endocarditis following mitral valve plasty. He was treated conservatively, but monitoring using computerized tomography (CT) scanning showed the development and growth of the SGA and the SMA aneurysms. The SMA aneurysm was resected surgically, and the SGA lesion was treated by means of selective embolization. For the treatment of SGA aneurysms, prompt and precise preoperative evaluation is important. When the anatomical feature and size of the aneurysm is suitable, endovascular treatment may be the first-line treatment, providing an efficacious and safe alternative to traditional surgical repair.

scholarly journals Subacute bacterial endocarditis secondary to mastoiditis: a rare complication

2012 ◽  
pp. bcr2012007247 ◽  
Author(s):  
Caroline Patricia Smith ◽  
Conor Jackson ◽  
Rosemary Stewart
Keyword(s):  
Rare Complication ◽  
Bacterial Endocarditis ◽  
Subacute Bacterial Endocarditis

scholarly journals Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
David Ethan Kahn ◽  
Kristine O'Phelan ◽  
Ross Bullock
Keyword(s):  
Intracranial Hemorrhage ◽  
Hemorrhagic Transformation ◽  
Bacterial Endocarditis ◽  
Infectious Endocarditis ◽  
Lumbar Radiculopathy ◽  
Intraparenchymal Hemorrhage ◽  
Transesophageal Echocardiogram ◽  
Mycotic Aneurysms ◽  
Structural Lesion ◽  
Neurologic Intensive Care Unit

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.

scholarly journals Levofloxacin-resistant-Streptococcus mitis endophthalmitis: a unique presentation of bacterial endocarditis

2009 ◽  
Vol 58 (10) ◽  
pp. 1385-1387 ◽  
Author(s):  
Amreen Dinani ◽  
Nessrine Ktaich ◽  
Carl Urban ◽  
David Rubin
Keyword(s):  
Infective Endocarditis ◽  
Rare Complication ◽  
Systemic Disease ◽  
Signs And Symptoms ◽  
Bacterial Endocarditis ◽  
Endogenous Endophthalmitis ◽  
Streptococcus Mitis ◽  
Obvious Source

Endogenous endophthalmitis is a rare complication of infective endocarditis and has been decreasing due to the availability of effective antibiotics. We highlight a case of endogenous endophthalmitis due to levofloxacin-resistant Streptococcus mitis presenting as infective endocarditis. Endogenous endophthalmitis should be considered as a manifestation of an underlying systemic disease, especially in patients who present with non-specific signs and symptoms with no obvious source of precipitating infection.

scholarly journals A rare case of Streptococcus anginosus infectious intracranial aneurysm: Proper management of a poor prognosis

2021 ◽  
Vol 12 ◽  
pp. 487
Author(s):  
Stephen V. Avallone ◽  
Adam S. Levy ◽  
Robert M. Starke
Keyword(s):  
Mycotic Aneurysm ◽  
Aortic Insufficiency ◽  
Bacterial Endocarditis ◽  
Streptococcus Anginosus ◽  
Risk Of Rupture ◽  
Partial Status Epilepticus ◽  
Efficient Communication ◽  
Mycotic Aneurysms ◽  
Partial Status

Background: Infectious intracranial aneurysms (IIAs), sometimes referred to as cerebral mycotic aneurysms, are an uncommon but feared compilation of bacterial endocarditis, occurring in up to 5% of all bacterial endocarditis cases. While IIAs carry a low risk of rupture, a ruptured mycotic aneurysm carries devastating neurologic consequences with up to an 80% mortality rate secondary to subarachnoid and intracerebral hemorrhage. Case Description: A 69-year-old man undergoing antibacterial therapy for Streptococcus anginosus endocarditis with aortic insufficiency and root abscess presented to the ED with multiple seizures and left-sided weakness. MRI of the head revealed right frontal and temporal abscesses with evidence of scattered septic emboli and subarachnoid hemorrhage. CTA of the head revealed a ruptured 1 mm distal middle cerebral artery mycotic aneurysm. Prior to undergoing surgery, the patient began to decline, becoming lethargic, and failing to respond to commands. The patient underwent endovascular Onyx embolization. After the procedure, the patient remained with partial status epilepticus and was discharged to rehabilitation. Over the following months, the patient made a great recovery and was able to undergo aortic and mitral valve replacement 5 months after neurosurgical intervention. Conclusion: This favorable outcome is the result of a tremendous deal of long-term coordination and efficient communication between neurosurgery, cardiology, neurology, physical medicine and rehabilitation, and primary care.

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