Successful endovascular coiling of infectious cerebral aneurysm following endocarditis

Recent reports suggest that Staphylococcus haemolyticus can cause infective endocarditis (IE). However, no data are available regarding infectious intracranial aneurysm (IIA) following S. haemolyticus endocarditis. Endovascular coiling is a challenging approach for the treatment of IIA. We describe...

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Autores principales:	Kosuke Matsuzono, Yusuke Ishiyama, Ayuho Higaki, Katsunari Namba, Yutaka Aoyama, Takeshi Igarashi, Kumiko Miura, Tadashi Ozawa, Takafumi Mashiko, Reiji Koide, Ryota Tanaka, Kenji Harada, Kazuomi Kario, Kensuke Kawai, Shigeru Fujimoto
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/d7044499482a457c9ef83b9a8637334f
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spelling	oai:doaj.org-article:d7044499482a457c9ef83b9a8637334f2021-12-02T03:04:05ZSuccessful endovascular coiling of infectious cerebral aneurysm following endocarditis1473-230010.1177/03000605211058857https://doaj.org/article/d7044499482a457c9ef83b9a8637334f2021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211058857https://doaj.org/toc/1473-2300Recent reports suggest that Staphylococcus haemolyticus can cause infective endocarditis (IE). However, no data are available regarding infectious intracranial aneurysm (IIA) following S. haemolyticus endocarditis. Endovascular coiling is a challenging approach for the treatment of IIA. We describe the case of a 63-year-old woman who suddenly developed aphasia and dysarthria following an acute cerebral infarction in her left insular and temporal cortex. After a total hysterectomy at the age of 39, the patient had suffered from recurrent bacterial pyomyositis in her legs. At admission, there was no evidence of cerebral aneurysm, as assessed by magnetic resonance angiography, and no vegetation, as assessed by transesophageal echocardiography (TEE), resulting in an incorrect diagnosis. However, subarachnoid hemorrhage and development of cerebral aneurysm in the left middle cerebral artery occurred within 1 week of hospitalization. Continuous positive blood culture results and a second TEE finally revealed that IE was caused by S. haemolyticus. Coil embolization of the IIA was successful on day 26 after symptom onset; after this procedure, the patient began to recover. This case demonstrates that S. haemolyticus -induced endocarditis can cause IIA. Endovascular coiling is a potentially effective approach to treat IIA.Kosuke MatsuzonoYusuke IshiyamaAyuho HigakiKatsunari NambaYutaka AoyamaTakeshi IgarashiKumiko MiuraTadashi OzawaTakafumi MashikoReiji KoideRyota TanakaKenji HaradaKazuomi KarioKensuke KawaiShigeru FujimotoSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Kosuke Matsuzono Yusuke Ishiyama Ayuho Higaki Katsunari Namba Yutaka Aoyama Takeshi Igarashi Kumiko Miura Tadashi Ozawa Takafumi Mashiko Reiji Koide Ryota Tanaka Kenji Harada Kazuomi Kario Kensuke Kawai Shigeru Fujimoto Successful endovascular coiling of infectious cerebral aneurysm following endocarditis
description	Recent reports suggest that Staphylococcus haemolyticus can cause infective endocarditis (IE). However, no data are available regarding infectious intracranial aneurysm (IIA) following S. haemolyticus endocarditis. Endovascular coiling is a challenging approach for the treatment of IIA. We describe the case of a 63-year-old woman who suddenly developed aphasia and dysarthria following an acute cerebral infarction in her left insular and temporal cortex. After a total hysterectomy at the age of 39, the patient had suffered from recurrent bacterial pyomyositis in her legs. At admission, there was no evidence of cerebral aneurysm, as assessed by magnetic resonance angiography, and no vegetation, as assessed by transesophageal echocardiography (TEE), resulting in an incorrect diagnosis. However, subarachnoid hemorrhage and development of cerebral aneurysm in the left middle cerebral artery occurred within 1 week of hospitalization. Continuous positive blood culture results and a second TEE finally revealed that IE was caused by S. haemolyticus. Coil embolization of the IIA was successful on day 26 after symptom onset; after this procedure, the patient began to recover. This case demonstrates that S. haemolyticus -induced endocarditis can cause IIA. Endovascular coiling is a potentially effective approach to treat IIA.
format	article
author	Kosuke Matsuzono Yusuke Ishiyama Ayuho Higaki Katsunari Namba Yutaka Aoyama Takeshi Igarashi Kumiko Miura Tadashi Ozawa Takafumi Mashiko Reiji Koide Ryota Tanaka Kenji Harada Kazuomi Kario Kensuke Kawai Shigeru Fujimoto
author_facet	Kosuke Matsuzono Yusuke Ishiyama Ayuho Higaki Katsunari Namba Yutaka Aoyama Takeshi Igarashi Kumiko Miura Tadashi Ozawa Takafumi Mashiko Reiji Koide Ryota Tanaka Kenji Harada Kazuomi Kario Kensuke Kawai Shigeru Fujimoto
author_sort	Kosuke Matsuzono
title	Successful endovascular coiling of infectious cerebral aneurysm following endocarditis
title_short	Successful endovascular coiling of infectious cerebral aneurysm following endocarditis
title_full	Successful endovascular coiling of infectious cerebral aneurysm following endocarditis
title_fullStr	Successful endovascular coiling of infectious cerebral aneurysm following endocarditis
title_full_unstemmed	Successful endovascular coiling of infectious cerebral aneurysm following endocarditis
title_sort	successful endovascular coiling of infectious cerebral aneurysm following endocarditis
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/d7044499482a457c9ef83b9a8637334f
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Successful endovascular coiling of infectious cerebral aneurysm following endocarditis

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