Neurologic complications of infective endocarditis.

摘要: Neurologic syndromes often complicate the management of infective endocarditis (IE). We retrospectively reviewed 166 episodes native valve to assess occurrence and implications nonfocal encephalopathy, meningitis, salient headache, back pain, brain abscess. complications occurred in 35% (58/166) patients: 41% (54/133) mitral or aortic IE 12% (4/33) tricuspid IE. Of 133 cases IE, encephalopathy 14%, meningitis 5%, headache 3%. All neurologic more with Staphylococcus aureus infection (67%) than viridans streptococci (22%), including (22% versus 7%), (17% 0%), stroke (39% 16%), death 9%). Encephalopathy was associated virulent organisms, increased patient age, uncontrolled infection. Clinical, radiologic, neuropathologic data all suggest that microemboli are etiologic IE-related encephalopathy. There were no macroscopic abscesses clinically identified. Meningitis only organisms. While many clinical aspects have changed recent years, frequency gravity not.