title: Infective endocarditis with cerebral mycotic aneurysm: treatment dilemma.
abstract: Cerebral mycotic aneurysms are uncommon but severe complications of infective endocarditis. Management of these patients remains controversial. We present a case of a 23-year-old man who had infective endocarditis complicated by an intracranial mycotic aneurysm. Because antimicrobial therapy was not effective in reducing the size of the mycotic aneurysm, a decision was made to perform craniotomy before cardiac surgery. The patient underwent an open heart operation 20 days after aneurysm clipping. His postoperative course was uneventful, and the patient continues to be healthy without neurological complications.
authors.affiliation: Department of Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan. wakakofujita@hotmail.com
authors.forename: Wakako
authors.initials: W
authors.lastname: Fujita
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Daitoku
authors.forename: Satoshi
authors.initials: S
authors.lastname: Taniguchi
authors.forename: Ikuo
authors.initials: I
authors.lastname: Fukuda
mesh_terms: D000785:Aneurysm, Infected / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002533:Cerebral Angiography / Q000379:methods; D003399:Craniotomy; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery*; D008297:Male; D058386:Mitral Valve Annuloplasty; D013291:Streptococcus / Q000302:isolation & purification; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D000890:Anti-Infective Agents