A Rare Cause of Ischemic Stroke in Young Age: Infective Endocarditis

Oguz Urgan, Serkan Emre Eroglu, Omer Faruk Celik, Ozge Ecmal Onur, Arzu Denizbasi
2014 Journal of Academic Emergency Medicine Case Reports  
If untreated, infective endocarditis is virtually always a fatal disease. Fever, cardiac soufflé, and nonspecific symptoms, such as myalgia and fatigue, are common. Here, we present a patient with the last diagnosis of infective endocarditis whose pre-diagnosis was meningitis and who developed stroke during the follow-up. Case Report: A 19-year-old male presented with a complaint of clouded consciousness and hyperthermia that he had experienced for 10 days. He was known to have no systemic
more » ... se. No obvious respiratory tract, genitourinary tract, gastrointestinal tract, or skin lesions were observed. Also, there was no neck stiffness on physical examination. He developed left hemiparesia (4/5) during the follow-up of the meningitis, and using cranial magnetic resonance, infarcts were found in the right MCA territories. After all, infective endocarditis was found as the origin of his complaints. Conclusion: This case report also emphasizes that we should not forget infective endocarditis in the etiology of systemic embolisms, especially in young patients.
doi:10.5152/jaemcr.2014.63825 fatcat:jiqnw6urazb5noujkg5awdkqo4