Neurological Complication of Infective endocarditis misdiagnosing with Multiple Sclerosis: A Case Report

Authors
D. Yadegarynia
S. Shokouhi
S. Tehrani
A. YAzdani
Infectious Diseases and Tropical Medicine Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran
Abstract
Infective endocarditis (IE) is a rare but serious disease with different clinical pictures. Its neurological complication is commonly mistaken in term of diagnosis and treatment. Therefore, such cases must be taken under further diagnostic imaging for searching the basic structural lesions. Known causes of these signs include cardio embolism with hemorrhagic transformation, septic embolism, or mycotic aneurysms. In this paper, our case was a patient admitted for the evaluation of local neurological complaint reason and subsequent therapy. He was found to have bacterial endocarditis after medical workup. It was diagnosed prospectively from positive tests of vegetation on Transesophageal echocardiogram and Magnetic resonance imaging (MRI) results.

Keywords

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Infection Epidemiology and Microbiology
Volume 3, Issue 3 - Serial Number 8
September 2017
Pages 104-106