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American Journal of Medical Case Reports. 2016, 4(6), 212-214
DOI: 10.12691/AJMCR-4-6-7
Case Report

Acute Embolic Ischemic Stroke as the Sole Presentation of Subacute Enterococcal Endocarditis

Hassan Tahir1, , Muhammad Ali Raza2, Vistasp Daruwalla3 and Zeeshan Khakwani4

1Department of Internal Medicine, Temple University/ Conemaugh Memorial Hospital, Johnstown PA, USA

2John D Dingell VA Medical Center, Detroit, MI, USA

3Department of Radiology, Wyne State University/ Detroit Medical Center, Detroit, MI, USA

4Hospitalist, Temple University/Conemaugh Memorial Hospital, Johnstown PA, USA

Pub. Date: June 22, 2016
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Cite this paper

Hassan Tahir, Muhammad Ali Raza, Vistasp Daruwalla and Zeeshan Khakwani. Acute Embolic Ischemic Stroke as the Sole Presentation of Subacute Enterococcal Endocarditis. American Journal of Medical Case Reports. 2016; 4(6):212-214. doi: 10.12691/AJMCR-4-6-7

Abstract

Neurological complications are the most frequent extra cardiac complications of infective endocarditis (IE) dominated by the stroke with a high mortality . These manifestations might be the first sign of IE in rare cases. Atrial fibrillation and infective endocarditis (IE) are two of the most common causes of cardio embolic strokes. The patients with infective endocarditis (IE) can present with variable symptoms ranging from vague complaints of fever and chills to any embolic complication. Duke’s criteria is the most common criteria used to diagnose infective endocarditis. We present a case of an acute ischemic stroke in a young patient, which was the sole presentation of subacute infective endocarditis associated with Enterococcus faecalis, thus leading to delayed diagnosis and treatment.

Keywords

subacute infective endocarditis, embolic stroke, cryptogenic stroke

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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