论文部分内容阅读
目的：报道一例首发症状为脑出血的感染性心内膜炎（ＩＥ）。方法：结合病史、ＣＴ、ＭＲＩ、心超和病理检查，进行文献复习。结果：发现ＩＥ临床表现多样性，缺乏特异性；由于抗生素广泛应用，临床表现变得不典型。结论：脑卒中可以是ＩＥ的一种表现形式；对多发性栓塞不能解释病因的脑卒中，应高度警惕ＩＥ；在观察下出现有意义的心脏杂音时对其确诊有重要意义。
Objective: To report a case of infective endocarditis (IE) with a first symptom of cerebral hemorrhage. Methods: Combined with history, CT, MRI, cardiac ultrasonography and pathological examination, literature review. Results: The clinical manifestations of IE were found to be diverse and lacking in specificity. Due to the widespread use of antibiotics, clinical manifestations became less typical. CONCLUSIONS: Stroke can be a manifestation of IE; IE should be highly vigilant for strokes in which multiple embolisms can not account for etiology; it is important to confirm the presence of meaningful heart murmur when observed.