Polymorphic Brain Damage As a Leading Manifestation of the Debut of Infective Endocarditis: Case Report

INTRODUCTION. Infectious endocarditis is characterized by high mortality and diverse clinical manifestations. The lesions of the nervous system in infectious endocarditis occurs in 60-80% of cases and can range from asymptomatic to severe presentations. The defeat of the nervous system in IE is often caused by ischemic strokes and intracerebral hemorrhages. CASE PRESENTATION. We present the young patient with recurrent infectious endocarditis, whose debut was marked by fever and severe cerebral symptoms. Сomputer and magnetic resonance imaging scans of the brain revealed intracerebral hemorrhage in the left occipital lobe and multiple focal lesions suggestive of an intracranial infection. It became necessary to conduct surgical treatment of infectious endocarditis due to appearance of symptoms and rapid progression of heart failure despite appropriate antibiotic therapy. The intracerebral hemorrhage has become a major obstacle to surgical treatment of infectious endocarditis. The article shows how the solutions adopted by the multidisciplinary team allowed to solve this problem.