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Peripheral nervous system involvement as the only neurological manifestation of infective endocarditis

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Abstract

We report a case of acute endocarditis with the unusual presentation of mononeuritis multiplex at onset. Mononeuropathy was the only detected neurological sign. The presence of muscular abscesses compressing the peripheral nervous system could lie at the basis of the pathophysiological mechanism responsible for acute mononeuropathy.

Sommario

Viene riportato un caso di endocardite acuta il cui quadro clinico di esordio consisteva in una mononeuropatia multipla. Quest'ultima rimase l'unica manifestazione neurologica del quadro clinico. II meccanismo patogenetico responsabile della mononeuropatia multipla potrebbe essere attribuito alla compressione da parte di ascessi muscolari sui tronchi nervosi con conseguente neuroaprassia.

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References

  1. Garvey G.J., Neu H.C.:Infective endocarditis—an evolving disease: a review of endocarditis at the Columbia-Presbyterian Medical Center, 1968–1973. Medicine, 57:105–127, 1978.

    CAS  PubMed  Google Scholar 

  2. Härkönen M., Olin P.E., Wenneström J.:Severe backache as a presenting sign of bacterial endocarditis. Acta Med. Scan., 210:329–331, 1981.

    Google Scholar 

  3. Harrison M.J.G., Hampton J.R.:Neurological presentation of bacterial endocarditis. Br. Med. J., 2:148–151, 1967.

    CAS  PubMed  Google Scholar 

  4. Jones H.R.JR., Siekert R.G.:Embolic mononeuropathy and bacterial endocarditis. Arch. Neurol., 19:535–537, 1968.

    PubMed  Google Scholar 

  5. Jones H.R.JR., Siekert R.G.:Neurological manifestations of infective endocarditis. Brain, 112:1295–1315, 1989.

    PubMed  Google Scholar 

  6. Kanter M.C., Hart R.G.:Neurologic complications of infective endocarditis. Neurology, 41:1015–1020, 1991.

    CAS  PubMed  Google Scholar 

  7. Le Camb B., Guivarch G., Boles J.M., Garre M., Cartier F.:Neurologic complications in a group of 86 bacterial endocarditis patients. Eur. Heart J. 5 (Suppl. C):97–100, 1984.

    Google Scholar 

  8. Ninet J., Gayet J.L., Etienne J. et al.:Bacterial endocarditis presenting as acute vertebral osteomyelitis: 14 cases. Eur. Heart J. 5 (Suppl. C):101–105, 1984.

    PubMed  Google Scholar 

  9. Pruitt A.A., Rubin R.H., Karchemer A.W., Duncan G.W.:Neurologic complications of bacterial endocarditis. Medicine, 57:329–343, 1978.

    CAS  PubMed  Google Scholar 

  10. Salgado A.V., Furlan A.J., Keys T.F., Nichols T.R., Beck G.J.:Neurologic complications of endocarditis: a 12 year experience. Neurology, 29:173–178, 1989.

    Google Scholar 

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Authors and Affiliations

  1. Divisione di Neurologia, Presidio Ospedaliero, Corso Italia 216, 34170, Gorizia

    Lazzarino L. G., Nicolai A. & Mesiano T.

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  1. Lazzarino L. G.
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  2. Nicolai A.
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  3. Mesiano T.
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Lazzarino, L.G., Nicolai, A. & Mesiano, T. Peripheral nervous system involvement as the only neurological manifestation of infective endocarditis. Ital J Neuro Sci 15, 167–170 (1994). https://doi.org/10.1007/BF02339210

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  • DOI: https://doi.org/10.1007/BF02339210

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