Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy

Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy

Infectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembol...

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Main Authors: David Ethan Kahn, Kristine O'Phelan, Ross Bullock
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2011/428729
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spelling doaj-ed6744c0832f47c5b53a62790bb234022020-11-24T23:58:10ZengHindawi LimitedCase Reports in Critical Care2090-64202090-64392011-01-01201110.1155/2011/428729428729Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar RadiculopathyDavid Ethan Kahn0Kristine O'Phelan1Ross Bullock2Miller School of Medicine University of Miami, Department of Neurology, Clinical Research Building, 1120 NW 14th Street, 13th Floor, Miami, FL 33136, USAMiller School of Medicine University of Miami, Department of Neurology, Clinical Research Building, 1120 NW 14th Street, 13th Floor, Miami, FL 33136, USAJackson Memorial Hospital, Department of Neurosurgery, 1095 NW 14th Ter No. 2, Miami, FL 33136-1060, USAInfectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembolism with hemorrhagic transformation, septic emboli, and mycotic aneurysms. We present a case of a patient who was admitted for routine evaluation and pain management of lumbar radiculopathy, who developed a large intraparenchymal hemorrhage and was found to have bacterial endocarditis. This was diagnosed retrospectively from positive hematoma cultures and a vegetation on transesophageal echocardiogram. Further evaluation revealed a mycotic aneurysm.http://dx.doi.org/10.1155/2011/428729
collection DOAJ
language English
format Article
sources DOAJ
author David Ethan Kahn
Kristine O'Phelan
Ross Bullock
spellingShingle David Ethan Kahn
Kristine O'Phelan
Ross Bullock
Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
Case Reports in Critical Care
author_facet David Ethan Kahn
Kristine O'Phelan
Ross Bullock
author_sort David Ethan Kahn
title Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_short Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_full Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_fullStr Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_full_unstemmed Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy
title_sort infectious endocarditis presenting as intracranial hemorrhage in a patient admitted for lumbar radiculopathy
publisher Hindawi Limited
series Case Reports in Critical Care
issn 2090-6420
2090-6439
publishDate 2011-01-01
description Infectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembolism with hemorrhagic transformation, septic emboli, and mycotic aneurysms. We present a case of a patient who was admitted for routine evaluation and pain management of lumbar radiculopathy, who developed a large intraparenchymal hemorrhage and was found to have bacterial endocarditis. This was diagnosed retrospectively from positive hematoma cultures and a vegetation on transesophageal echocardiogram. Further evaluation revealed a mycotic aneurysm.
url http://dx.doi.org/10.1155/2011/428729
work_keys_str_mv AT davidethankahn infectiousendocarditispresentingasintracranialhemorrhageinapatientadmittedforlumbarradiculopathy
AT kristineophelan infectiousendocarditispresentingasintracranialhemorrhageinapatientadmittedforlumbarradiculopathy
AT rossbullock infectiousendocarditispresentingasintracranialhemorrhageinapatientadmittedforlumbarradiculopathy
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