Infective endocarditis complicated by brain embolism: a case report

Abstract

Symptomatic neurological complications occur in 15–30% of patients with infective endocarditis. At the same time, other clinically silent cerebral embolisms occur in 35–60% of patients. Staphylococcus aureus is the pathogen that causes nervous system involvement most frequently. We report a case of a 67-year- -old man with infective endocarditis following a dental procedure that manifested as spondylodiscitis and multiple brain embolization, including a brain abscess that required drainage. After six weeks of treatment with broad-spectrum antibiotics and complex supportive therapy, we discharged the patient in a satisfactory mental and somatic condition. The preparation of the patient for cardiac surgery is ongoing.