title: [Bacterial endocarditis on mitral prolapse revealed by cutaneous and neurological disorders. Usefulness of immunological investigations (author's transl)].
abstract: In a 32-year-old woman with mitral prolapse, bacterial endocarditis was preceded by a long period of neuralgias and skin lesions. Thrombosis of the Sylvian artery heralded the onset of the disease which remained for a long time apyretic and was marked by several cerebral vascular accidents. After failure of antibiotic therapy the mitral valve was replaced by a Starr valve and the patient recovered. In view of the presence of immunological abnormalities in this patient, the mechanisms of the vascular lesions is discussed. Many authors are new giving a large place to "immunoallergic" theories in their attempts to explain the occurrence of non-specific arteritis in bacterial endocarditis.
mesh_terms: D000328:Adult; D000936:Antigen-Antibody Complex / Q000032:analysis; D001927:Brain Diseases / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology; D005260:Female; D006801:Humans; D008945:Mitral Valve Prolapse / Q000150:complications*; D009422:Nervous System Diseases / Q000209:etiology; D012871:Skin Diseases / Q000209:etiology*
chemical_list: D000936:Antigen-Antibody Complex
vernacular_title: Endocardite bactérienne sur prolapsus mitral: manifestations cutanées et neurologiques révélatrices.