American Journal of Medical Case Reports
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American Journal of Medical Case Reports. 2016, 4(6), 212-214
DOI: 10.12691/ajmcr-4-6-7
Open AccessCase Report

Acute Embolic Ischemic Stroke as the Sole Presentation of Subacute Enterococcal Endocarditis

Hassan Tahir1, , Muhammad Ali Raza2, Vistasp Daruwalla3 and Zeeshan Khakwani4

1Department of Internal Medicine, Temple University/ Conemaugh Memorial Hospital, Johnstown PA, USA

2John D Dingell VA Medical Center, Detroit, MI, USA

3Department of Radiology, Wyne State University/ Detroit Medical Center, Detroit, MI, USA

4Hospitalist, Temple University/Conemaugh Memorial Hospital, Johnstown PA, USA

Pub. Date: June 22, 2016

Cite this paper:
Hassan Tahir, Muhammad Ali Raza, Vistasp Daruwalla and Zeeshan Khakwani. Acute Embolic Ischemic Stroke as the Sole Presentation of Subacute Enterococcal Endocarditis. American Journal of Medical Case Reports. 2016; 4(6):212-214. doi: 10.12691/ajmcr-4-6-7


Neurological complications are the most frequent extra cardiac complications of infective endocarditis (IE) dominated by the stroke with a high mortality . These manifestations might be the first sign of IE in rare cases. Atrial fibrillation and infective endocarditis (IE) are two of the most common causes of cardio embolic strokes. The patients with infective endocarditis (IE) can present with variable symptoms ranging from vague complaints of fever and chills to any embolic complication. Duke’s criteria is the most common criteria used to diagnose infective endocarditis. We present a case of an acute ischemic stroke in a young patient, which was the sole presentation of subacute infective endocarditis associated with Enterococcus faecalis, thus leading to delayed diagnosis and treatment.

subacute infective endocarditis embolic stroke cryptogenic stroke

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