Endocardite infecciosa com apresentação inicial de abdome agudo / Infective endocarditis with initial presentation of acute abdomen
Arq. bras. cardiol
; 94(4): e106-e108, abr. 2010.
Article
in Portuguese
| LILACS
| ID: lil-546705
Responsible library:
BR1.1
RESUMO
Paciente de 35 anos de idade foi atendido em Serviço de Emergência com seis horas de dor em fossa ilíaca direita e febre. Feita hipótese diagnóstica de apendicite aguda e realizada laparotomia exploradora. com apendicectomia. O paciente retornou ao hospital três dias após alta hospitalar. prostrado. febril. com alteração de fala. diminuição de nível de consciência e com hemiparesia completa à esquerda. CT scan de crânio e punção de líquor normal. RMN de encéfalo revelou aspectos compatíveis com AVC isquêmico vertebro-basilar. Ecocardiograma transesofágico demonstrou vegetação em valva aórtica e insuficiência aórtica moderada e hemoculturas foram positivas para Enterococcus bovis.
ABSTRACT
A 35-year-old patient was seen in an Emergency Department. with six hours of pain in the right iliac fossa and fever. The hypothesis diagnosis was acute appendicitis and an exploring laparotomy for appendectomy was carried out. The patient returned to the hospital three days after having been discharged. debilitated. feverish. having alterations in speech. reduction in the level of consciousness and complete hemiparesis to the left. The computed tomography scan of the skull and the liquor puncture were normal. Cerebral magnetic resonance image showed aspects compatible with vertebrobasilar ischemic stroke. Transesphofagic echocardiogram showed vegetation of the aortic valve and moderate aortic insufficiency. Blood cultures were positive for Enterococcus bovis.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Vertebrobasilar Insufficiency
/
Endocarditis
/
Abdomen, Acute
/
Heart Valve Diseases
Type of study:
Diagnostic study
/
Etiology study
Limits:
Adult
/
Humans
/
Male
Language:
Portuguese
Journal:
Arq. bras. cardiol
Journal subject:
Cardiology
Year:
2010
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital São Camilo Pompéia/BR