Meningealis izgalmi tünetekkel jelentkezo infektív endocarditis

Translated title of the contribution: Infective endocarditis appearing with meningeal signs

Zsuzsanna Aschenbrenner, Gábor Simon, Gizella Mayer, Márta Szokó, István Hartyánszky, András Szatmári, Gábor Simon

Research output: Contribution to journalArticle

Abstract

Authors present the case of a 12-year old girl with infective endocarditis. Following an initial three-day period of malaise, she was admitted to hospital with meningeal signs. The clinical symptoms and the results of the laboratory examinations, lumbar puncture and hemoculture supported the diagnosis of Staphylococcus sepsis and meningitis. The initiation of antimicrobial therapy resulted in temporary improvement while a systolic cardiac murmur appeared. Transthoracal echocardiogram raised the diagnosis of mitral valve endocarditis. Due to the subsequent deterioration in her condition, the patient was referred to the Pediatric Heart Center of the Gottsegen György National Institute of Cardiology where transoesophageal echocardiogram confirmed the diagnosis. The vegetations were removed by extracorporeal cardiac surgery including mitral valve plasty. Retrospectively, septic embolisation caused multiplex brain infarcts were identified by cranial MRI scan as the underlying cause of the initial clinical symptoms and liquor results. Following her recovery, patient remained well with some mild residual mitral regurgitation and without any residual neurological symptoms.

Original languageHungarian
Pages (from-to)1909-1911
Number of pages3
JournalOrvosi Hetilap
Volume150
Issue number41
DOIs
Publication statusPublished - Oct 1 2009

Fingerprint

Endocarditis
Mitral Valve
Systolic Murmurs
Heart Murmurs
Spinal Puncture
Mitral Valve Insufficiency
Cardiology
Staphylococcus
Meningitis
Thoracic Surgery
Sepsis
Magnetic Resonance Imaging
Pediatrics
Brain
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Aschenbrenner, Z., Simon, G., Mayer, G., Szokó, M., Hartyánszky, I., Szatmári, A., & Simon, G. (2009). Meningealis izgalmi tünetekkel jelentkezo infektív endocarditis. Orvosi Hetilap, 150(41), 1909-1911. https://doi.org/10.1556/OH.2009.28694

Meningealis izgalmi tünetekkel jelentkezo infektív endocarditis. / Aschenbrenner, Zsuzsanna; Simon, Gábor; Mayer, Gizella; Szokó, Márta; Hartyánszky, István; Szatmári, András; Simon, Gábor.

In: Orvosi Hetilap, Vol. 150, No. 41, 01.10.2009, p. 1909-1911.

Research output: Contribution to journalArticle

Aschenbrenner, Z, Simon, G, Mayer, G, Szokó, M, Hartyánszky, I, Szatmári, A & Simon, G 2009, 'Meningealis izgalmi tünetekkel jelentkezo infektív endocarditis', Orvosi Hetilap, vol. 150, no. 41, pp. 1909-1911. https://doi.org/10.1556/OH.2009.28694
Aschenbrenner Z, Simon G, Mayer G, Szokó M, Hartyánszky I, Szatmári A et al. Meningealis izgalmi tünetekkel jelentkezo infektív endocarditis. Orvosi Hetilap. 2009 Oct 1;150(41):1909-1911. https://doi.org/10.1556/OH.2009.28694
Aschenbrenner, Zsuzsanna ; Simon, Gábor ; Mayer, Gizella ; Szokó, Márta ; Hartyánszky, István ; Szatmári, András ; Simon, Gábor. / Meningealis izgalmi tünetekkel jelentkezo infektív endocarditis. In: Orvosi Hetilap. 2009 ; Vol. 150, No. 41. pp. 1909-1911.
@article{dd99f09164d841649662dde2c42070c0,
title = "Meningealis izgalmi t{\"u}netekkel jelentkezo infekt{\'i}v endocarditis",
abstract = "Authors present the case of a 12-year old girl with infective endocarditis. Following an initial three-day period of malaise, she was admitted to hospital with meningeal signs. The clinical symptoms and the results of the laboratory examinations, lumbar puncture and hemoculture supported the diagnosis of Staphylococcus sepsis and meningitis. The initiation of antimicrobial therapy resulted in temporary improvement while a systolic cardiac murmur appeared. Transthoracal echocardiogram raised the diagnosis of mitral valve endocarditis. Due to the subsequent deterioration in her condition, the patient was referred to the Pediatric Heart Center of the Gottsegen Gy{\"o}rgy National Institute of Cardiology where transoesophageal echocardiogram confirmed the diagnosis. The vegetations were removed by extracorporeal cardiac surgery including mitral valve plasty. Retrospectively, septic embolisation caused multiplex brain infarcts were identified by cranial MRI scan as the underlying cause of the initial clinical symptoms and liquor results. Following her recovery, patient remained well with some mild residual mitral regurgitation and without any residual neurological symptoms.",
keywords = "Childhood infective endocarditis, Meningeal signs, Staphylococcus aureus",
author = "Zsuzsanna Aschenbrenner and G{\'a}bor Simon and Gizella Mayer and M{\'a}rta Szok{\'o} and Istv{\'a}n Harty{\'a}nszky and Andr{\'a}s Szatm{\'a}ri and G{\'a}bor Simon",
year = "2009",
month = "10",
day = "1",
doi = "10.1556/OH.2009.28694",
language = "Hungarian",
volume = "150",
pages = "1909--1911",
journal = "Orvosi Hetilap",
issn = "0030-6002",
publisher = "Akademiai Kiado",
number = "41",

}

TY - JOUR

T1 - Meningealis izgalmi tünetekkel jelentkezo infektív endocarditis

AU - Aschenbrenner, Zsuzsanna

AU - Simon, Gábor

AU - Mayer, Gizella

AU - Szokó, Márta

AU - Hartyánszky, István

AU - Szatmári, András

AU - Simon, Gábor

PY - 2009/10/1

Y1 - 2009/10/1

N2 - Authors present the case of a 12-year old girl with infective endocarditis. Following an initial three-day period of malaise, she was admitted to hospital with meningeal signs. The clinical symptoms and the results of the laboratory examinations, lumbar puncture and hemoculture supported the diagnosis of Staphylococcus sepsis and meningitis. The initiation of antimicrobial therapy resulted in temporary improvement while a systolic cardiac murmur appeared. Transthoracal echocardiogram raised the diagnosis of mitral valve endocarditis. Due to the subsequent deterioration in her condition, the patient was referred to the Pediatric Heart Center of the Gottsegen György National Institute of Cardiology where transoesophageal echocardiogram confirmed the diagnosis. The vegetations were removed by extracorporeal cardiac surgery including mitral valve plasty. Retrospectively, septic embolisation caused multiplex brain infarcts were identified by cranial MRI scan as the underlying cause of the initial clinical symptoms and liquor results. Following her recovery, patient remained well with some mild residual mitral regurgitation and without any residual neurological symptoms.

AB - Authors present the case of a 12-year old girl with infective endocarditis. Following an initial three-day period of malaise, she was admitted to hospital with meningeal signs. The clinical symptoms and the results of the laboratory examinations, lumbar puncture and hemoculture supported the diagnosis of Staphylococcus sepsis and meningitis. The initiation of antimicrobial therapy resulted in temporary improvement while a systolic cardiac murmur appeared. Transthoracal echocardiogram raised the diagnosis of mitral valve endocarditis. Due to the subsequent deterioration in her condition, the patient was referred to the Pediatric Heart Center of the Gottsegen György National Institute of Cardiology where transoesophageal echocardiogram confirmed the diagnosis. The vegetations were removed by extracorporeal cardiac surgery including mitral valve plasty. Retrospectively, septic embolisation caused multiplex brain infarcts were identified by cranial MRI scan as the underlying cause of the initial clinical symptoms and liquor results. Following her recovery, patient remained well with some mild residual mitral regurgitation and without any residual neurological symptoms.

KW - Childhood infective endocarditis

KW - Meningeal signs

KW - Staphylococcus aureus

UR - http://www.scopus.com/inward/record.url?scp=70349820381&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70349820381&partnerID=8YFLogxK

U2 - 10.1556/OH.2009.28694

DO - 10.1556/OH.2009.28694

M3 - Article

VL - 150

SP - 1909

EP - 1911

JO - Orvosi Hetilap

JF - Orvosi Hetilap

SN - 0030-6002

IS - 41

ER -