From stiff neck and fever to endocarditis of infrequent cause: brain and heart united by pathogenesis
DOI:
https://doi.org/10.32818/reccmi.a3n1a14Keywords:
escherichia coli, infective endocarditis, treatment.Abstract
We report the case of a 69-year-old woman who consulted in the emergency department for depressed level of consciousness, fever, nuchal rigidity, and shock. The diagnostic tests became an infrequent diagnosis: acute endocarditis caused by Escherichia coli. The computed tomography of the head showed lesions which were compatible with septic emboli. Only 0.51% of endocarditis are caused by Escherichia coli, and they are associated with a high rate of complications and mortality. Treatment of endocarditis caused by gram-negative organisms is controversial; we proposed cardiac surgery in our patient, however it was rejected because she had a good clinical response to antibiotic treatment.
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Copyright (c) 2018 Elena Concejo-Martínez, Ana Isabel Ostos-Ruiz, María Soto-Martín, Enrique López-Herrero, Francisco Javier Carrasco-Sánchez
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