Ischemic Stroke From Infective Endocarditis

stroke

Thank you Dr. Tu for an excellent presentation of ischemic stroke due to septic emboli from infective endocarditis

Teaching Points:

  • CNS complications of infective endocarditis can occur in 20-40% patients
  • Etiology: occlusion of cerebral arteries by septic emboli, cerebral hemorrhage, meningitis, encephalitis, brain abscess, mycotic aneurysm
  • Diagnosis using Duke Endocarditis Diagnostic Criteria
  • Treatment tailored antibiotics for 4-6 weeks

Further Reading:
Management of neurological complications of infective endocarditis in ICU patients

Evidence Based Medicine:
Analysis of the Impact of Early Surgery on In-hospital Mortality of Native Valve Endocarditis