Cerebral hemorrhage from a mycotic aneurysm developing during appropriate antibiotic therapy.
A patient with bacterial endocarditis had headaches, cerebrospinal fluid pleocytosis and normal cerebral angiograms. Fifteen days later, while on appropriate antibiotic therapy, he developed an intracerebral hematoma due to a mycotic aneurysm. Mycotic aneurysm is an infrequent but serious complication of bacterial endocarditis. An aneurysm should be considered whenever a patient with bacterial endocarditis has neurologic symptoms even when the patient is receiving antibiotics.
D000328:Adult; D000785:Aneurysm, Infected / Q000150:complications* / Q000209:etiology; D002437:Cefazolin / Q000627:therapeutic use; D002543:Cerebral Hemorrhage / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000150:complications / Q000188:drug therapy*; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D013997:Time Factors
D005839:Gentamicins; D002437:Cefazolin