CASE REPORT
Anaemia and neurologic complications- the dominating manifestations of infective endocarditis -case report
 
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Department of Internal Medicine, Medical University of Lublin, Lublin
 
 
Corresponding author
Marcin Kowalik   

Department of Internal Medicine, Medical University of Lublin, Lublin, Lubartowska 68A\51, 20-094 Lublin, Poland
 
 
J Pre Clin Clin Res. 2018;12(1):36-39
 
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ABSTRACT
Introduction:
Infective endocarditis (IE) is an infection of the endocardium, which most commonly involves the mitral and aortic valve. The estimated incidence of IE in patients with heart defects is 1–2%. One of the predisposing factor is mitral valve leaflet prolapse accompanied by incompetence. The diagnosis of IE can prove difficult due to the possible occurrence of symptoms from multiple organs. A multidisciplinary approach, and taking into consideration possible numerous complications is essential during diagnostic procedures. The clinical picture of IE includes embolic complications. The presented study describes the case of a 58-year-old male patient with a mitral defect diagnosed due to multi-cause anaemia, which delayed the diagnosis of IE. Besides anaemia, the clinical picture was dominated by numerous embolic brain lesions, being complications of IE, which caused disorientation and confusion.

REFERENCES (12)
1.
Interna Szczeklika 2015. W: Piotr Gajewski (red.). Medycyna praktyczna. Kraków, 2015. 343–355.
 
2.
Pruitt AA. Neurologic complications of infective endocarditis. Curr Treat Options Neurol. 2013 Aug; 15(4): 465–76.
 
3.
Habib G, Lancellotti P, Antunes MJ, et al. 2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio- Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM). Eur Heart J. 2015 Nov 21; 36(44): 3075–128.
 
4.
Wiligórska N, Galas A, Seliga D, Kowal J, Wiligórska D. Infekcyjne zapalenie wsierdzia – choroba o wielu twarzach. Opis przypadku. Lek. Wojsk. 2017; 95(2): 160–162, bibliogr. 10 poz., sum.
 
5.
Cantier M, Mazighi M, Klein I, Desilles JP, Wolff M, Timsit JF, Sonneville R. Neurologic Complications of Infective Endocarditis: Recent Findings. Curr Infect Dis Rep. 2017 Sep 19; 19(11): 41.
 
6.
Morris NA, Matiello M, Lyons JL, Samuels MA. Neurologic complications in infective endocarditis: identification, management, and impact on cardiac surgery. Neurohospitalist. 2014 Oct; 4(4): 213–22.
 
7.
Sonneville R, Mourvillier B, Bouadma L, Wolff M. Management of neurological complications of infective endocarditis in ICU patients. Ann Intensive Care. 2011; 1: 10.
 
8.
Huang HL, Lin FC, Hung KC, Wang PN, WU D. Hemolytic anemia in native valve infective endocarditis: a case report and literature review. Jpn Circ J. 1999 May; 63(5): 400–3.
 
9.
Ka-Shing Cheung, Wai K Leung. Gastrointestinal bleeding in patients on novel oral anticoagulants: Risk, prevention and management. World J Gastroenterol. 2017 Mar 21; 23(11): 1954–1963.
 
10.
García-Cabrera E, Fernández-Hidalgo N, Almirante B, et al. Neurological complications of infective endocarditis: risk factors, outcome, and impact of cardiac surgery: a multicenter observational study. Circulation. 2013 Jun 11; 127(23): 2272–84.
 
11.
Bademosi O, Falase AO, Jaiyesimi F, Bademosi A. Neuropsychiatric manifestations of infective endocarditis: a study of 95 patients at Ibadan, Nigeria. J Neurol Neurosurg Psychiatry. 1976 Apr; 39(4): 325–329.
 
12.
Pigretti S, Zurrú MC, Arias A, Parcerisa F, Luzzi A, Belziti C. Neurologic complications of infective endocarditis: do they have an impact on prognosis? Medicina (B Aires). 2017; 77(2): 89–94.
 
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ISSN:1898-2395
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