Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Critical Care
Volume 2011, Article ID 428729, 3 pages
http://dx.doi.org/10.1155/2011/428729
Case Report

Infectious Endocarditis Presenting as Intracranial Hemorrhage in a Patient Admitted for Lumbar Radiculopathy

1Miller School of Medicine University of Miami, Department of Neurology, Clinical Research Building, 1120 NW 14th Street, 13th Floor, Miami, FL 33136, USA
2Jackson Memorial Hospital, Department of Neurosurgery, 1095 NW 14th Ter No. 2, Miami, FL 33136-1060, USA

Received 2 June 2011; Accepted 14 July 2011

Academic Editors: W. S. Park and C. D. Roosens

Copyright © 2011 David Ethan Kahn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Infectious endocarditis is frequently found in the neurologic intensive care unit and may rarely be the cause of intracranial hemorrhage. In such instances, further diagnostic imaging to search for an underlying structural lesion is prudent. Well-known causes of these hemorrhages include cardioembolism with hemorrhagic transformation, septic emboli, and mycotic aneurysms. We present a case of a patient who was admitted for routine evaluation and pain management of lumbar radiculopathy, who developed a large intraparenchymal hemorrhage and was found to have bacterial endocarditis. This was diagnosed retrospectively from positive hematoma cultures and a vegetation on transesophageal echocardiogram. Further evaluation revealed a mycotic aneurysm.