Vascular complications of infective endocarditis

Inpatient versus outpatient onsets of acute myocardial infarction

“…There are many case reports regarding AMI as an in-hospital complication of patients treated for conditions, such as endocarditis [24,25], acute pancreatitis [26], rheumatoid arthritis [27], venous thromboembolism [28], diabetes mellitus [29], antiphospholipid syndrome [30], ovarian hyperstimulation syndrome [31], anorexia nervosa [32], anaphylaxis [33], and blunt chest trauma [34]. Among the 121 patients with somatic conditions in this study (n = 121), the most frequent diagnosis was gastrointestinal (25%), followed by urological (20%) and neurological (18%) diseases.…”

Mycotic aneurysm as a complication of infective endocarditis - a case report

“…5,13 This complication is rare, occurring in around 2-4% of cases, and as reported, more than half (57.4%) are located in the distal branches of the medium cerebral artery. 7,13,14,15 The cerebral hemorrhage presented by the patient can be justified by the fact that mycotic aneurysms generally present a fine and fragile wall. 7 A multicenter study conducted in France showed that 65-80% of mycotic aneurysms are asymptomatic, diagnosed only by imaging exams.…”

“…6 In relation to the blood culture, the case presented differs from European studies where 2.5 to 31% of cases demonstrate negativity, but is very similar to that found in a Senegalese study conducted from 2005 to 2011, in which 60% of blood cultures were negative. 4,12,13 After almost two months of clinical evolution the patient presented a mycotic aneurysm, as a consequence of displacement of septic emboli from valvular vegetation to the arterial vasa vasorum, disseminating the infection to the inner layer and wall of the vessel. 5,13 This complication is rare, occurring in around 2-4% of cases, and as reported, more than half (57.4%) are located in the distal branches of the medium cerebral artery.…”

“…4,12,13 After almost two months of clinical evolution the patient presented a mycotic aneurysm, as a consequence of displacement of septic emboli from valvular vegetation to the arterial vasa vasorum, disseminating the infection to the inner layer and wall of the vessel. 5,13 This complication is rare, occurring in around 2-4% of cases, and as reported, more than half (57.4%) are located in the distal branches of the medium cerebral artery. 7,13,14,15 The cerebral hemorrhage presented by the patient can be justified by the fact that mycotic aneurysms generally present a fine and fragile wall.…”

Septic Embolism in Endocarditis: Anatomic and Pathophysiologic Considerations

“…This potentially devastating presentation has been reported in the setting of more severe cases of IE, often involving valve replacement [114][115][116], with some patients experience multiple/ recurring embolic events [114,115]. In terms of clinical presentation, patients may exhibit a broad spectrum of complaints including pain, pallor, poikilothermia, and paresthesias with extreme cases threatening the viability of the limb itself [114].…”