Medical therapy of a left-sided native valve endocarditis with neurologic sequela

Choon S. Ng, Shawal Mohamad, Oteh Maskon

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Infective endocarditis could present with a plethora of signs and symptoms. Among the rarity of its presentation is acute confusion associated with neurological deficits, mimicking stroke especially in the young population. We report a case of a 33-year-old young man with acute right-sided hemiparesis and confusion 2 weeks after tooth extraction. The brain CT and MRI was consistent with new infarction on the left middle and anterior cerebral arteries’ territory. Echocardiography unveiled the existence of posterior mitral valve leaflet vegetation. Blood culture grew Group B beta-haemolytic Streptococcus, sensitive to penicillin. Two weeks of intravenous gentamicin with 6 weeks of intravenous benzylpenicillin were administered. In this case report, we highlight the importance of recognition of infective endocarditis in a young patient presenting with cerebrovascular accident following tooth extraction.

Original languageEnglish
Pages (from-to)743-746
Number of pages4
JournalSaudi Medical Journal
Volume36
Issue number6
DOIs
Publication statusPublished - 2015

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Tooth Extraction
Endocarditis
Nervous System
Stroke
Anterior Cerebral Artery
Penicillin G
Middle Cerebral Artery
Paresis
Gentamicins
Streptococcus
Mitral Valve
Penicillins
Infarction
Signs and Symptoms
Echocardiography
Brain
Therapeutics
Population
Blood Culture

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Medical therapy of a left-sided native valve endocarditis with neurologic sequela. / Ng, Choon S.; Mohamad, Shawal; Maskon, Oteh.

In: Saudi Medical Journal, Vol. 36, No. 6, 2015, p. 743-746.

Research output: Contribution to journalArticle

Ng, Choon S. ; Mohamad, Shawal ; Maskon, Oteh. / Medical therapy of a left-sided native valve endocarditis with neurologic sequela. In: Saudi Medical Journal. 2015 ; Vol. 36, No. 6. pp. 743-746.
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