| Title | [The management by medical treatment of an intracranial mycotic aneurysm in a patient with infectious endocarditis with negative blood cultures and hypertrophic myocardiopathy] | | Author(s) | Anguita M, Romo E, Viñals M, Ostos J, Bueno G, Vivancos R, Franco M, Suárez de Lezo J, Vallés F | | Institution | Servicio de Cardiología, Hospital Reina Sofía, Córdoba. | | Source | Rev Esp Cardiol 1991 Oct; 44(8):556-9. | | MeSH | Adult
Aneurysm, Infected
Bacteria
Cardiomyopathy, Hypertrophic
Combined Modality Therapy
Drug Therapy, Combination
Endocarditis, Bacterial
Female
Humans
Intracranial Aneurysm
Mitral Valve
Mitral Valve Insufficiency
Penicillin G
Streptomycin
| | Abstract | A case of intracranial mycotic aneurysm due to culture-negative infective endocarditis involving a patient with hypertrophic cardiomyopathy is reported. The patient, a 22-year-old woman with no history of known prior disease, had fever, headache and focal neurologic symptoms 3 days before admission. An echocardiogram performed after admission disclosed an obstructive hypertrophic cardiomyopathy and a gross vegetation on septal leaflet of mitral valve. Cerebral angiography revealed a mycotic aneurysm involving a peripheral branch of the left middle cerebral artery. Causal agent was not identified, and empiric treatment with penicillin G and streptomycin achieved medical cure and disappearance of the aneurysm 2 weeks later. Four months after endocarditis had been cured, the patient was electively operated because of progression of mitral regurgitation. Six months later, she is asymptomatic. | | Language | spa | | Pub Type(s) | Case Reports
English Abstract
Journal Article
| | PubMed ID | 1767111 |
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