High rate of brain embolization with endocarditis

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By  |  September 10, 2009 | 

In this small cohort of 56 patients with left sided endocarditis, of the 40 that underwent brain MRI, 80% had evidence of brain emoblization (48% were subclinical, 33% were clinical stroke). Of those with staph aureus, 95% had evidence of brain embolization. Mortality at 30 days was much higher for those with stroke (46%) and subclinical brain emoblization (32%) than those without brain embolization (0%). Subclinical brain embolization is very common in patients with endocarditis, and is associated with a poor prognosis (abstract).

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About the Author: Danielle Scheurer

Danielle Scheurer, MD, MSCR, SFHM is a clinical hospitalist and the Chief Quality Officer at the Medical University of South Carolina in Charleston, South Carolina, where she also serves as Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She is also the President of SHM's Board of Directors and previously served as Physician Editor of The Hospitalist, SHM's monthly newsmagazine.

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