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Blood Culture-Negative but Clinically Diagnosed Infective Endocarditis Complicated by Intracranial Mycotic Aneurysm, Brain Abscess, and Posterior Tibial Artery Pseudoaneurysm
Joint Authors
Jiang, Chao
Lu, Haibin
Guo, Yaoqiang
Zhu, Li
Luo, Tianqi
Ziai, Wendy
Wang, Jian
Source
Case Reports in Neurological Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-08
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Blood culture-negative endocarditis is often severe and difficult to diagnose.
It is necessary to emphasize the importance for the early diagnosis and accurate treatment of blood culture-negative endocarditis.
Here, we described the relevant clinical information of a blood culture-negative but clinically diagnosed infective endocarditis complicated by intracranial mycotic aneurysm, brain abscess, and posterior tibial artery pseudoaneurysm.
This patient was a 65-year-old man with a 9-month history of intermittent fever and died in the end for the progressive neurological deterioration.
Although the blood culture is negative, this patient was clinically diagnosed as infective endocarditis according to Duke criteria.
This patient course was complicated not only by cerebral embolism, intracranial mycotic aneurysm, and brain abscess but also by posterior tibial artery aneurysm of the lower extremity.
The clinical findings of this patient suggest that the confirmatory microbiology is essential for the treatment of blood culture-negative infective endocarditis.
Clinicians should be aware of the detriment of blood culture-negative infective endocarditis for its multiple complications may occur in one patient.
The delayed etiological diagnosis and insufficient treatment may aggregate the clinical outcome of blood culture-negative infective endocarditis.
American Psychological Association (APA)
Jiang, Chao& Lu, Haibin& Guo, Yaoqiang& Zhu, Li& Luo, Tianqi& Ziai, Wendy…[et al.]. 2018. Blood Culture-Negative but Clinically Diagnosed Infective Endocarditis Complicated by Intracranial Mycotic Aneurysm, Brain Abscess, and Posterior Tibial Artery Pseudoaneurysm. Case Reports in Neurological Medicine،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145299
Modern Language Association (MLA)
Jiang, Chao…[et al.]. Blood Culture-Negative but Clinically Diagnosed Infective Endocarditis Complicated by Intracranial Mycotic Aneurysm, Brain Abscess, and Posterior Tibial Artery Pseudoaneurysm. Case Reports in Neurological Medicine No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1145299
American Medical Association (AMA)
Jiang, Chao& Lu, Haibin& Guo, Yaoqiang& Zhu, Li& Luo, Tianqi& Ziai, Wendy…[et al.]. Blood Culture-Negative but Clinically Diagnosed Infective Endocarditis Complicated by Intracranial Mycotic Aneurysm, Brain Abscess, and Posterior Tibial Artery Pseudoaneurysm. Case Reports in Neurological Medicine. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1145299
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145299