title: Neurologic complaints in a patient with infective endocarditis.
abstract: BACKGROUND
  Infectious intracranial aneurysms constitute a small subgroup of all intracranial aneurysms, but are an important cause of neurologic complaints in patients with infective endocarditis.
  
  
  OBJECTIVE
  To describe a potentially fatal cause of neurologic complaints in patients with endocarditis.
  
  
  METHODS
  We report a case of a 33-year-old woman with Streptococcus sanguinis endocarditis and several neurologic complaints including right arm numbness, confusion, and occasional word-finding difficulty that were found to be secondary to infectious intracranial aneurysm.
  
  
  CONCLUSIONS
  Early consideration of intracranial infectious aneurysm in patients with infective endocarditis and neurologic symptoms is critical. Therapeutic intervention is often effective, and risk of aneurysm rupture is high.
authors.affiliation: Department of Emergency Medicine, Massachusetts General Hospital, Division of Emergency Medicine, Harvard Medical School, Boston, Massachusetts 02114, USA.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Martindale
authors.forename: Emily M
authors.initials: EM
authors.lastname: Hayden
mesh_terms: D000328:Adult; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D013290:Streptococcal Infections / Q000175:diagnosis*; D013298:Streptococcus sanguis; D019966:Substance-Related Disorders / Q000150:complications*