RT Journal Article
SR Electronic
T1 Medical therapy of a left-sided native valve endocarditis with neurologic sequela
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 743
OP 746
DO 10.15537/smj.2015.6.11420
VO 36
IS 6
A1 Choon S. Ng
A1 Shawal Mohamad
A1 Oteh Maskon
YR 2015
UL http://smj.org.sa/content/36/6/743.abstract
AB 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.