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Afebrile Dizziness as Initial Presentation of Infectious Endocarditis

以眩暈作為感染性心內膜炎的初次表現

摘要


感染性心內膜炎仍然是全世界都畏懼的感染症。感染性心內膜炎的併發症包括鬱血性心衰竭,多重器官膿瘍,及神經學病變。本文報告一位55歲的男性因為突發性頭暈及視力模糊而前來急診。藉由核磁共振及心臟超音波診斷出感染性心內膜炎導致之中風。病人接受完整的抗生素療程,而其神經學症狀亦逐漸改善。

並列摘要


Infectious endocarditis remains a dreaded infectious disease worldwide. The complications of infectious endocarditis usually consist of congestive heart failure, abscesses in multiple organs, and neurological events. We present a 55-year-old man who presented to the emergency department with a chief complaint of sudden onset dizziness. Acute cerebrovascular accident caused by infectious endocarditis was diagnosed by brain magnetic resonance imaging and echocardiography. The patient received a complete course of antibiotics, and showed gradual improvement of neurological symptoms.

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