Infective Endocarditis as a Cause of Acute Ischemic Stroke: Case Series and Review Literature
Keywords:
Infective endocarditis, acute ischemic stroke, emboli, sepsisAbstract
Two cases were presented with acute ischemic stroke. Both cases had fever and heart murmur. Echocardiography confirmed the vegetation attached to the heart valves. They had positive hemoculture for group B beta-hemolytic streptococci in a patient and Streptococcus viridans in another. Infective endocarditis is one of the uncommon causes of ischemic stroke, but has significant morbidity and mortality. Blockage of artery from septic emboli is the proposed mechanism. However, there are several controversial issues in management of these patients, such as the benefit of antiplatelet or anticoagulant, the appropriate timing for surgery, especially in patients with large ischemic lesion.
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