[Meningeal febrile syndrome and hemiplegia revealing infectious endocarditis: the story of a catheter-related infection].
BACKGROUND
We report the case of a 48-years patient who is under chimotherapy because of a breast cancer. She was initially found at her place in coma with hyperthermia and neurological deficiency signs. The clinic history and the paraclinical investigations have enabled to detect a catheter-related infection (CRI) as soon as the diagnosis of disseminated infectious endocarditis was made. The resonance imaging confirmed the cerebral blow when it found suspicious images of septic embolus.


METHODS
The CRI are usually detected at an early stage and if the classical association CRI-infectious endocarditis-systemical embolus is well known, the discovery on a CRI not treated at the stade of a febril coma is exceptional.


CONCLUSIONS
More than ever the taking care of infectious endocarditis, still delicate and sometimes perilous, requires a global taking care of the patient.
Roth
B
B
Service de réanimation polyvalente, centre hospitalier de Calais, 11, quai du Commerce, 62107 Calais, France.
Guego
M
M
El Mouden
M
M
Mahfoud
A
A
Hadj-Slimane
Z
Z
Berkelmans
F
F
Peneau
H
H
D002404:Catheterization / Q000009:adverse effects*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000209:etiology; D005260:Female; D005334:Fever / Q000209:etiology; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D016920:Meningitis, Bacterial / Q000382:microbiology*; D008875:Middle Aged; D013203:Staphylococcal Infections / Q000150:complications* / Q000209:etiology; D013577:Syndrome