Pathology of retrieved thrombus in a patient with acute ischemic stroke due to infective endocarditis: a case report / 中华神经科杂志

ABSTRACT

Infective endocarditis is one of the causes of cerebral infarction.Mechanical thrombectomy has been widely used in China for years.However,reports involving retrieved thrombus pathology are somewhat scarce.Here a case in which the cause of stroke was confirmed by thrombus pathology is reported.A 33-year male with a history of dilated cardiomyopathy visited the emergency because of sudden onset of left-sided weakness for 14 hours.Mechanical thrombectomy was performed,and the pathological study of the retrieved thrombus demonstrated Gram-staining positive cocci.The patient was combined with fever,septic shock,and acute kidney injury.Ultrasoundcardiography showed vegetation in the left ventricle.Therefore,he was definitely diagnosed as acute ischemic stroke due to infective vegetation embolism.