Bibliographic Details
Title: |
An enigmatic presentation of Escherichia coli endocarditis: Emphasizing the role of brain magnetic resonance imaging |
Authors: |
Juthipong Benjanuwattra, Amanda L. Bell, Mingxiao V. Yang, Barbara L. Mora, Leigh Ann Jenkins, Pooja Sethi |
Source: |
Clinical Case Reports, Vol 11, Iss 9, Pp n/a-n/a (2023) |
Publisher Information: |
Wiley, 2023. |
Publication Year: |
2023 |
Collection: |
LCC:Medicine LCC:Medicine (General) |
Subject Terms: |
emboli, endocarditis, Escherichia coli, magnetic resonance imaging, valvular heart disease, vegetation, Medicine, Medicine (General), R5-920 |
More Details: |
Key Clinical Message Infective endocarditis should be considered in any febrile individual with acute onset neurological symptoms. If suspicion is high, a negative brain computed tomography does not virtually exclude embolism, and magnetic resonance imaging is warranted. Abstract A diagnosis of infective endocarditis (IE) is often delayed, particularly in those infected with unusual organisms. Hereby, we report a case of a female patient presented with dysarthria, confusion, and altered mental status after being treated for Escherichia coli bacteremia. Computed tomography of the brain was unrevealing; however, scattered embolic phenomena were visualized on magnetic resonance imaging (MRI). The case underscores the importance of clinical awareness, particularly in the setting of unusual microorganisms, and the role of brain MRI in the diagnosis of IE. |
Document Type: |
article |
File Description: |
electronic resource |
Language: |
English |
ISSN: |
2050-0904 |
Relation: |
https://doaj.org/toc/2050-0904 |
DOI: |
10.1002/ccr3.7878 |
Access URL: |
https://doaj.org/article/56df12a662174e7fb6ba2a1dd8963751 |
Accession Number: |
edsdoj.56df12a662174e7fb6ba2a1dd8963751 |
Database: |
Directory of Open Access Journals |