A case of infective endocarditis complicated with subarachnoid hemorrhage and bleeding from brain abscess

Abstract

A case of infective endocarditis complicated with subarachnoid hemorrhage and bleeding from brain abscess was reported.
A 43-year-old male with hypertrophic obstructive cardiomyopathy suffered from high fever for one month. He developed subarachnoid hemorrhage 1.5 month after he became feverish. He was diagnosed as infective endocarditis caused by streptococcus viridans (α-hemolytic streptococcus). Penicillin G and Amikacin were started to effectively administer. Two weeks after subarachnoid hemorrhage he suddenly developed right hemiplegia with impairment of consciousness. Computed tomography showed brain abscess with hemorrhage, which ruptured into the ventricle, in the left hemisphere.
We emphasize the importance of early diagnosis and adequate treatment in acute stage of infective endocarditis for the protection against intracranial hemorrhage.