Pathology of retrieved thrombus in a patient with acute ischemic stroke due to infective endocarditis: a case report
10.3760/cma.j.issn.1006-7876.2019.01.011
- VernacularTitle:回收血栓病理确诊的感染性心内膜炎致急性脑梗死一例
- Author:
Zhe ZHANG
1
;
Bo YANG
;
Jing YAN
;
Zhonghua YANG
;
Ning MA
;
Dehong LU
;
Liping LIU
Author Information
1. 首都医科大学附属北京天坛医院神经病学中心 100070
- Keywords:
Endocarditis,bacterial;
Stroke;
Brain ischemia;
Mechanical thrombectomy;
Pathology
- From:
Chinese Journal of Neurology
2019;52(1):51-54
- CountryChina
- Language:Chinese
-
Abstract:
Infective endocarditis is one of the causes of cerebral infarction.Mechanical thrombectomy has been widely used in China for years.However,reports involving retrieved thrombus pathology are somewhat scarce.Here a case in which the cause of stroke was confirmed by thrombus pathology is reported.A 33-year male with a history of dilated cardiomyopathy visited the emergency because of sudden onset of left-sided weakness for 14 hours.Mechanical thrombectomy was performed,and the pathological study of the retrieved thrombus demonstrated Gram-staining positive cocci.The patient was combined with fever,septic shock,and acute kidney injury.Ultrasoundcardiography showed vegetation in the left ventricle.Therefore,he was definitely diagnosed as acute ischemic stroke due to infective vegetation embolism.
