Neurologic Complications Of Infective Endocarditis : A Clinical Study

Abstract

The complications of infective endorcarditis are well known. However the pattern of underlying heart disease, organisms, types of complications and outcome are likely to vary depending on the study population, local epidemiology and associated medical variables. In India the patterns of medical practice is changing with technical and medical advancement. These change are likely to influence the pattern of infective endorcarditis and its neurological complications. To study the profile of neurological complications out come, 22 consecutive patients with infective endorcarditis were studied. There were 13 males and nine female. Three patients had late prosthetic valve endorcarditis and rest had native valve endorcarditis. Two patients with native valve developed endorcarditis after balloon dilatation of mitral valve. All prosthetic valve patients survived while both patients with post dilatation endorcarditis expired. Staphylococcus aureus was the most frequent organism. Bland infarction was the commonest neurologic complication in this series. Two third patients with staphylococcus endorcarditis survived. Or results suggest that in patients with neurologic complications due to infective endorcarditis staphylococcus is the most frequent organism, bland infraction is the commonest radiological finding and mortality is high.