Neisseria sicca Endocarditis Presenting as Multiple Embolic Brain Infarcts.
A 58 year old male presented with a 14 day history of progressive forgetfulness and aggressiveness. He had a history of human immunodeficiency virus infection, ischemic cardiomyopathy, and a myxomatous mitral valve (status post Saint Jude's mitral valve replacement 8 years before presentation). International normalized ratio was supra-therapeatutic on admission. A non-contrast computed tomography of the brain indicated multiple infarcts with hemorrhagic conversion. The source was later found to be a rare case of Neisseria sicca endocarditis.
Department of Internal Medicine.
Christine
C
Kirlew
Department of Internal Medicine, Division of Cardiology.
Kobina
K
Wilmot
Department of Internal Medicine, Division of Infectious Diseases , Emory University School of Medicine , Atlanta, Georgia.
Jorge L
JL
Salinas
HIV; Neisseria sicca; endocarditis; supratherapeautic INR