Aneurisma micótico abdominal e embolia cerebral associados à endocardite infecciosa em paciente com doença valvar reumática crônica

Abstract

We report the case of a girl with chronic rheumatic valvar heart disease who developed infective endocarditis and two complications, ischemic stroke due to cerebral embolic event and mycotic aneurysm of the superior mesenteric artery.

Oral Antibiotic Therapy for Infective Endocarditis Due to Enterococcus Spp. After Hemorrhagic Stroke and Heart Surgery

“…2 In general, mitral vegetations are associated with a higher risk of embolization (25%) compared to those in the aortic valve (10%). 7 The size ( > 10mm) and mobility of vegetations are independent predictors of an embolic event. 3 In a study including patients with IE in the mitral and or aortic valves, 8 the incidence CNS embolism after antibiotic initiation was of 12.9%, and 65% of these events occurred in the first 2 weeks of treatment.…”

Meningite como complicação de endocardite infecciosa

“…(4) Several factors are known to predispose patients with infective endocarditis to embolic complications, including the presence of vegetations on the anterior leaflet of the mitral valve and vegetations larger than 10 mm detected on an echocardiogram. (7,8) In addition, mitral valve lesions have been associated with higher rates of embolic complications compared to aortic valve vegetations (25 and 10%, respectively).…”

Aneurismas infecciosos: incidência, diagnóstico e tratamento

“…Liphaus et al 9 estudaram aneurismas infecciosos ocorridos em crianças, analisando um caso, literatura publicada e o banco de dados do Ministério da Saúde brasileiro.…”