An enigmatic presentation of Escherichia coli endocarditis: Emphasizing the role of brain magnetic resonance imaging

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
More Details
ISSN:20500904
DOI:10.1002/ccr3.7878
Published in:Clinical Case Reports
Language:English