Genç Yaşta İskemik İnmenin Nadir Bir Nedeni: İnfektif Endokardit

Abstract

Giriş: Tedavi edilmediğinde infektif endokardit neredeyse her zaman ölümcül hastalıktır. Ateş, kardiyak üfürüm ve myalji, halsizlik gibi nonspesifik semptomlar sıktır. Burada, ön tanısı menenjit olan ve takibi sırasında inme gelişen infektif endokardit son tanılı bir hasta sunulmaktadır. Olgu Sunumu: On dokuz yaşında erkek hasta 10 gündür devam eden yüksek ateş ve bilinç kapalılığı nedeniyle başvurdu. Sistemik hastalığa sahip olmadığı bilinmekteydi. Solunum, genitoüriner, gastrointestinal yolda ya da deride belirgin lezyonlara rastlanmadı. Yine, fizik muayenede ense sertliği de yoktu. Menenjit açısından takip edildiği sırada hastada sol hemiparezi (4/5) gelişti ve kraniyal manyetik görüntüleme ile sağ MCA bölgesinde infarkt saptandı. Neticede hastanın şikayetlerinin kaynağının infektif endokardit olduğu tespit edildi. Sonuç: Bu vaka sunumu, özellikle de genç hastalardaki sistemik embolilerin etyolojisinde infektif endokarditin hatırlanması gerektiğini vurgulamaktadır.

Keywords

• Endokardit, emboli, inme

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

Abstract

Introduction: 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 disease. 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

Keywords

• Endocarditis, embolism, stroke

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