What question did this study set out to answer?

To describe the clinical presentation of Escherichia coli infective endocarditis and evaluate the utility of brain MRI in detecting embolic neurological complications when computed tomography is unremarkable.

September 1, 2023Clinical Case ReportsOpen Access

An enigmatic presentation of Escherichia coli endocarditis: Emphasizing the role of brain magnetic resonance imaging

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Authors

JBJuthipong BenjanuwattraElectrophysiology ABAmanda BellUniversity of Sioux Falls MYMingxiao V. Yang

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Implication

Case report demonstrates occult cerebral emboli via MRI in a patient with Escherichia coli bacteremia, highlighting the essential role of magnetic resonance imaging in atypical endocarditis.

Key Points

To describe the clinical presentation of Escherichia coli infective endocarditis and evaluate the utility of brain MRI in detecting embolic neurological complications when computed tomography is unremarkable.
Clinical evaluation of a female patient presenting with dysarthria, confusion, and altered mental status following treatment for E. coli bacteremia.
Diagnostic neuroimaging assessment comparing initial brain computed tomography (CT) with subsequent brain magnetic resonance imaging (MRI).
Brain computed tomography was unrevealing and failed to detect acute intracranial pathology.
Brain MRI successfully detected scattered embolic phenomena, establishing cerebral embolization secondary to infective endocarditis.

Cite This Study

Benjanuwattra et al. (2023) studied this question.

synapsesocial.com/papers/6a720dad8031ec7bb1dd3745 https://doi.org/10.1002/ccr3.7878

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Implication

Case report demonstrates occult cerebral emboli via MRI in a patient with Escherichia coli bacteremia, highlighting the essential role of magnetic resonance imaging in atypical endocarditis.

An enigmatic presentation of Escherichia coli endocarditis: Emphasizing the role of brain magnetic resonance imaging

Discussion

Member takes

Implication

Key Points

Cite This Study

An enigmatic presentation of Escherichia coli endocarditis: Emphasizing the role of brain magnetic resonance imaging

Discussion

Member takes

Implication

Key Points

Cite This Study

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