Cerebral infarction: Surgical timing dilemma in <i>Streptococcus agalactiae</i> endocarditis - A case report.

ABSTRACT: Infective endocarditis (IE) is a relatively uncommon disease with a high mortality rate. Early recognition and prompt antibiotic therapy are crucial for preventing complications such as acute heart failure, uncontrolled infection, and embolic events. Embolic-related stroke events significantly increase both morbidity and mortality. Stroke may be the first clinical manifestation of IE. We report the case of a 57-year-old male who initially presented with stroke symptoms and left-sided weakness. His condition deteriorated rapidly and progressed to septic shock within 6 h. Broad-spectrum antibiotics were started at 13 h when "possible endocarditis" was diagnosed. Approximately 43 h after arrival, the patient developed atrioventricular block, ventricular fibrillation, and cardiac arrest, requi

SUBMITTER: Chou IH 

PROVIDER: S-EPMC12641561 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature