Afebrile Dizziness as Initial Presentation of Infectious Endocarditis

以眩暈作為感染性心內膜炎的初次表現

蘇俊郎(Jiun-Lang Su)；陳秋媚(Chiu-Mei Chen)；吳肇鑫(Chao-Hsin Wu)

感染性心內膜炎 ； 中風 ； 合成組織胞漿素原活化劑 ； infectious endocarditis ； stroke ； recombinant tissue plasminogen activator

Journal of Emergency Medicine, Taiwan

13卷1期（2011 / 03 / 01）

25 - 28

英文

感染性心內膜炎仍然是全世界都畏懼的感染症。感染性心內膜炎的併發症包括鬱血性心衰竭，多重器官膿瘍，及神經學病變。本文報告一位55歲的男性因為突發性頭暈及視力模糊而前來急診。藉由核磁共振及心臟超音波診斷出感染性心內膜炎導致之中風。病人接受完整的抗生素療程，而其神經學症狀亦逐漸改善。

Infectious endocarditis remains a dreaded infectious disease worldwide. The complications of infectious endocarditis usually consist of congestive heart failure, abscesses in multiple organs, and neurological events. We present a 55-year-old man who presented to the emergency department with a chief complaint of sudden onset dizziness. Acute cerebrovascular accident caused by infectious endocarditis was diagnosed by brain magnetic resonance imaging and echocardiography. The patient received a complete course of antibiotics, and showed gradual improvement of neurological symptoms.