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Chapter 6.2 - Infective Endocarditis
from 6 - Rare Causes of Cardioembolism
- By Filipa Dourado Sotero, Diana Aguiar de Sousa
Edited by Derya Uluduz, Istanbul Üniversitesi
Anita Arsovska
Book:

Rare Causes of Stroke

Published online:

06 October 2022

Print publication:

01 September 2022, pp 287-292
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Summary

Infective endocarditis (IE) is a disease of the endocardial surface of the heart, native or prosthetic heart valves or intracardiac cardiac devices with an estimated annual incidence ranging from 3 to 14 per 100.000 person-years. The causes and epidemiology have changed in recent decades due to the growing number of health-related procedures and lower incidence of rheumatic heart disease. Although IE is a rare cause of stroke, this is the most common neurological complication of IE, affecting up to 35% of all patients. Risk factors for brain embolization include vegetation size and mobility, left-side vegetation and a Staphylococcus aureus infection. We present a 41 year-old man with a history of heroin and cocaine use and chronic liver disease (alcoholic and hepatitis C virus), who presented with stroke and was diagnosed with infective endocarditis