Intracranial hemorrhagic embolus

作     者：Yu-Hang Yeh Yu-Jang Su 

作者机构：Department of Emergency MedicineTaipei City HospitalZhongxing BranchTaipeiTaiwan Department of Emergency MedicineMackay Memorial HospitalNo.92Sec 2Chung-Shan North RdTaipei 10449Taiwan Department of Oral HygieneCollege of Oral MedicineTaipei Medical UniversityTaipeiTaiwan Department of MedicineMackay Medical CollegeNew Taipei CityTaiwan Mackay Junior College of MedicineNursing and ManagementTaipeiTaiwan 

出 版 物：《Journal of Acute Disease》 (急性病杂志（英文版）)

年 卷 期：2017年第6卷第1期

页      面：45-46页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Infective endocarditis Septic embolus Methicillin sensitive Staphylococcus aureus Aortic valve Intravenous drug user 

摘      要：A febrile and unconscious man was sent to our emergency department. On physical examinations, some dark red ecchymosis/discoloration over the trunk and track mark in the left-sided groin region were seen. Brain CT scan showed septic emboli complicated with hemorrhage. Chest X-ray revealed pulmonary emboli. Aortic valve vegetation was found by echocardiography. Although aggressive treatment and resuscitation were taken, he died of methicillin-sensitiveStaphylococcus aureus sepsis and multiple organ failure. Intravenous drug users are susceptible to right-sided infective endocarditis. In our case, left-sided infective endocarditis with lung and brain embolism resulting in fatality was relatively uncommon. Review of literature was also made for this article.