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Year : 2017  |  Volume : 6  |  Issue : 1  |  Page : 45-46

Intracranial hemorrhagic embolus

1 Department of Emergency Medicine, Taipei City Hospital, Zhongxing Branch, Taipei, Taiwan
2 Department of Emergency Medicine, Mackay Memorial Hospital, No.92, Sec 2, Chung-Shan North Rd, Taipei 10449; Department of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei; Department of Medicine, Mackay Medical College, New Taipei City; Mackay Junior College of Medicine, Nursing and Management, Taipei, Taiwan

Correspondence Address:
Yu-Jang Su
92, Section 2, Chung-Shan North Road, Taipei City 10449
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Source of Support: None, Conflict of Interest: None

DOI: 10.12980/jad.6.2017JOAD_2016_57

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A febrile and unconscious man was sent to our emergency department. On physical examinations, some dark red ecchymosis/discoloration over the trunk and track mark in the left-sided groin region were seen. Brain CT scan showed septic emboli complicated with hemorrhage. Chest X-ray revealed pulmonary emboli. Aortic valve vegetation was found by echocardiography. Although aggressive treatment and resuscitation were taken, he died of methicillin-sensitive Staphylococcus aureus sepsis and multiple organ failure. Intravenous drug users are susceptible to right-sided infective endocarditis. In our case, left-sided infective endocarditis with lung and brain embolism resulting in fatality was relatively uncommon. Review of literature was also made for this article.

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