Infective Endocarditis with Systemic Septic Emboli.
10.4070/kcj.1999.29.8.833
- Author:
Jee Soo KIM
;
Dae Gyun PARK
;
Kyung Chang PARK
;
Kyung Soon HONG
;
Young Cheoul DOO
;
Kyoo Rok HAN
;
Dong Jin OH
;
Kyu Hyung RYU
;
Chong Yun RIM
;
Young Bahk KOH
;
Kwang Hack LEE
;
Yung LEE
- Publication Type:Case Report
- Keywords:
Infective endocarditis;
Embolism
- MeSH:
Adult;
Aged;
Back Pain;
Brain Infarction;
Cardiomegaly;
Communicable Diseases;
Dyspnea;
Echocardiography;
Embolism;
Endocarditis*;
Estrogens, Conjugated (USP);
Fever;
Follow-Up Studies;
Headache;
Hemiplegia;
Humans;
Mitral Valve Insufficiency;
Neurology;
Neurosurgery;
Spondylitis;
Thorax
- From:Korean Circulation Journal
1999;29(8):833-839
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Infective endocarditis is still one of the important fatal diseases, especially with systemic embolic manifestations. Infective endocarditis is often misdiagnosed because of variability of systemic embolic manifestations. We have experienced 3 cases of infective endocarditis with systemic embolic manifestations who were initially misdiagnosed as other infectious diseases. Case 1 is a 66 year-old man, who was admitted to our hospital with dyspnea , fever and petechia. His chest X-ray showed rapid decrease of cardiomegaly and pulmonary congestion in two days. At 1 week after discharge he was readmitted for recurrent fever. On the follow-up echocardiography, mitral regurgitation was newly detected. Case 2 is a 75 year-old man, who was admitted to neurology department with sudden left hemiplegia and headache, in whom it was initially difficult to differentiate from ischemic brain infarction. Case 3 is a 29 year-old man, who was admitted to neurosurgery department with fever and back pain, in whom it was initially difficult to diffrentiate from tuberculous spondylitis in early radiologic study. All 3 cases were treated effectively with appropriate antibiotic therapy and discharged with improvement of symptoms. We report 3 cases of systemic embolic manifestations complicated by infective endocarditis with a brief review of literatures.
