[Cerebral embolism as the first manifestation of Staphylococcus aureus endocarditis: the role of transesophageal echocardiography in the therapeutic decision].
In patients with endocarditis due to Staphylococcus aureus, the issue of medical or surgical treatment still remains controversial. Likewise, there is no agreement in the management of those patients who have suffered cerebral embolism and show large vegetations in echocardiography. Moreover, transthoracic echocardiography not always disclose endocarditis vegetations as accurately as transesophageal echocardiography. We describe a patient with cerebral embolism due to Staphylococcus aureus endocarditis in which adequate medical diagnosis and management was achieved by means of transesophageal echocardiography.
García Pascual
J
J
Unidad de Ecocardiografía, Hospital Universitario 12 de Octubre, Madrid.
Pérez-Carasa
M A
MA
Lombera Romero
F
F
D003023:Cloxacillin / Q000008:administration & dosage; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D004452:Echocardiography / Q000379:methods*; D004697:Endocarditis, Bacterial / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D004947:Esophagus; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy
D005839:Gentamicins; D003023:Cloxacillin
Embolia cerebral como primera manifestación de endocarditis por Staphylococcus aureus: papel de la ecocardiografía transesofágica en la decisión terapéutica.