Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses

Beata P. Kraśnicka-Sokół; Karol Brodowski; Krzysztof Kanafa; Krzysztof Filczak; Stanisław Laskowski; Marek Kochmański

doi:10.5114/ms.2016.61100

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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2/2016
vol. 32

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abstract:

Case report

Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses

Beata P. Kraśnicka-Sokół

¹

,

Karol Brodowski

¹

,

Krzysztof Kanafa

¹

,

Krzysztof Filczak

²

,

Stanisław Laskowski

¹

,

Marek Kochmański

³

3rd Department of Internal Medicine, Subdivision of Toxicology, AZA Treatment Subdivision, Subdivision of Nephrology, Praski Hospital of the Transfiguration of Jesus, Warsaw, Poland
Department of Bacteriology, Central Clinical Hospital Ministry of Interior and Administration, Warsaw, Poland
UWMSC – Maria Sklodowska-Curie Warsaw University, Warsaw, Poland

Medical Studies/Studia Medyczne 2016; 32 (2): 123–127

DOI: https://doi.org/10.5114/ms.2016.61100

Online publish date: 2016/07/11

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AMA

Kraśnicka-Sokół B, Brodowski K, Kanafa K, Filczak K, Laskowski S, Kochmański M. Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses. Medical Studies/Studia Medyczne. 2016;32(2):123-127. doi:10.5114/ms.2016.61100.

APA

Kraśnicka-Sokół, B., Brodowski, K., Kanafa, K., Filczak, K., Laskowski, S.,  & Kochmański, M. (2016). Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses. Medical Studies/Studia Medyczne, 32(2), 123-127. https://doi.org/10.5114/ms.2016.61100

Chicago

Kraśnicka-Sokół, Beata P., Karol Brodowski, Krzysztof Kanafa, Krzysztof Filczak, Stanisław Laskowski,  and Marek Kochmański. 2016. "Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses". Medical Studies/Studia Medyczne 32 (2): 123-127. doi:10.5114/ms.2016.61100.

Harvard

Kraśnicka-Sokół, B., Brodowski, K., Kanafa, K., Filczak, K., Laskowski, S.,  and Kochmański, M. (2016). Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses. Medical Studies/Studia Medyczne, 32(2), pp.123-127. https://doi.org/10.5114/ms.2016.61100

MLA

Kraśnicka-Sokół, Beata P. et al. "Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses." Medical Studies/Studia Medyczne, vol. 32, no. 2, 2016, pp. 123-127. doi:10.5114/ms.2016.61100.

Vancouver

Kraśnicka-Sokół B, Brodowski K, Kanafa K, Filczak K, Laskowski S, Kochmański M. Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses. Medical Studies/Studia Medyczne. 2016;32(2):123-127. doi:10.5114/ms.2016.61100.

PlumX metrics:

A 59-year-old man was admitted to the Rheumatology Department in order to conduct diagnostics of a hypoechogenic lesion located in the lower pole of the spleen. After 17 days of hospitalisation at the Department of Rheumatology and the Department of Neurology, the patient was referred to the Internal Medicine Ward due to a suspicion of advanced infective endocarditis. Seven days of antibiotic and antifungal therapy resulted in a reduction of C-reactive protein levels from 133.38 mg/l to 29.78 mg/l. Control echocardiography did not show progression of bacterial vegetation, but revealed an increase in the severity of bicuspid valve regurgitation. Following pharmacotherapy, on the 23rd day of hospitalisation the patient was transferred to the Department of Cardiosurgery and Transplantology at the Institute of Cardiology for urgent surgical treatment. After successful surgery the patient underwent physiotherapy, resulting in partial resolution of neurological symptoms. Currently, 2 years after the event, the patient remains in good general state. We therefore conclude that the IE Risk Index is of high clinical value.

keywords:

Difficulties in the treatment of infective endocarditis of unknown aetiology complicated by haemorrhagic stroke, cerebellum stroke, and spleen abscesses

Beata P. Kraśnicka-Sokół 1 , Karol Brodowski 1 , Krzysztof Kanafa 1 , Krzysztof Filczak 2 , Stanisław Laskowski 1 , Marek Kochmański 3

infective endocarditis, ischaemic cerebral stroke, ischaemic cerebellar stroke, splenic abscesses

Beata P. Kraśnicka-Sokół

¹

,

Karol Brodowski

¹

,

Krzysztof Kanafa

¹

,

Krzysztof Filczak

²

,

Stanisław Laskowski

¹

,

Marek Kochmański

³