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An Med Interna ; 21(11): 551-3, 2004 Nov.
Article in Spanish | MEDLINE | ID: mdl-15538906

ABSTRACT

We present the case of a patient with an intracerebral hemorrhage as complication of an infectious endocarditis (EI) produced by Neisseria sicca on a prosthetic mitral valve. The patient was anticoagulated previously with Acenocumarol as prophylaxis of thrombosis of the prosthetic valve. He was diagnosed as having IE and later he presented neurological symptoms as consequence of several intracerebral hemorrhagic foci. We decided to continue the anticoagulation with sodium heparin followed of Bemiparina and no new hemorrhagic complications nor thrombosis of the valve were observed after three months of the event. We have not found in the literature any case where low molecular weight heparin has been used as method of anticoagulation in these cases beyond two weeks.


Subject(s)
Cerebral Hemorrhage/drug therapy , Endocarditis, Bacterial/complications , Heart Valve Prosthesis/adverse effects , Heparin, Low-Molecular-Weight/therapeutic use , Mitral Valve , Neisseria sicca , Neisseriaceae Infections/complications , Prosthesis-Related Infections/complications , Cerebral Hemorrhage/etiology , Humans , Male , Middle Aged
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