Case Report: A man with septic shock developed convulsions
Embolism has variable manifestations in infective endocarditis (IE) and might be misinterpreted in clinical settings. In this study, we reported the case of a 67-year-old man with erysipelas and septic shock who had developed a new onset of blurred vision and subsequently convulsions and multiple ce...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1605482/full |
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| author | Linxiang Huang Peiliang Gao Xueying Fu Yuran Wang Jihong Zhu Guiying Dong |
| author_facet | Linxiang Huang Peiliang Gao Xueying Fu Yuran Wang Jihong Zhu Guiying Dong |
| author_sort | Linxiang Huang |
| collection | DOAJ |
| description | Embolism has variable manifestations in infective endocarditis (IE) and might be misinterpreted in clinical settings. In this study, we reported the case of a 67-year-old man with erysipelas and septic shock who had developed a new onset of blurred vision and subsequently convulsions and multiple cerebral infarctions. Valve vegetations and patent foramen ovale were negative on the first echocardiography. After the neurologic symptom occurred, repeated echocardiography was performed and revealed vegetations on the mitral valve. As the patient had immunological complications, we suggested prolonged antibiotic therapy, but the patient requested an early discharge due to financial concerns. Under such circumstances, administering a long-acting penicillin G via an intramuscular injection once was an alternative therapy before discharge. For patients with bloodstream infection who develop any new onset symptoms related to arterial occlusion, infective endocarditis should be suspected, and repeated echocardiography is necessary. |
| format | Article |
| id | doaj-art-5bb74c68990b41769e50e9bf7d7a9aaa |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-5bb74c68990b41769e50e9bf7d7a9aaa2025-08-20T03:38:49ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16054821605482Case Report: A man with septic shock developed convulsionsLinxiang Huang0Peiliang Gao1Xueying Fu2Yuran Wang3Jihong Zhu4Guiying Dong5Peking University Hepatology Institute, Peking University People’s Hospital, Beijing, ChinaEmergency Department, Peking University People’s Hospital, Beijing, ChinaEmergency Department, Peking University People’s Hospital, Beijing, ChinaEmergency Department, Peking University People’s Hospital, Beijing, ChinaEmergency Department, Peking University People’s Hospital, Beijing, ChinaEmergency Department, Peking University People’s Hospital, Beijing, ChinaEmbolism has variable manifestations in infective endocarditis (IE) and might be misinterpreted in clinical settings. In this study, we reported the case of a 67-year-old man with erysipelas and septic shock who had developed a new onset of blurred vision and subsequently convulsions and multiple cerebral infarctions. Valve vegetations and patent foramen ovale were negative on the first echocardiography. After the neurologic symptom occurred, repeated echocardiography was performed and revealed vegetations on the mitral valve. As the patient had immunological complications, we suggested prolonged antibiotic therapy, but the patient requested an early discharge due to financial concerns. Under such circumstances, administering a long-acting penicillin G via an intramuscular injection once was an alternative therapy before discharge. For patients with bloodstream infection who develop any new onset symptoms related to arterial occlusion, infective endocarditis should be suspected, and repeated echocardiography is necessary.https://www.frontiersin.org/articles/10.3389/fmed.2025.1605482/fullseptic shockconvulsioncase reportinfective endocarditiserysipelasdeep venous thrombosis |
| spellingShingle | Linxiang Huang Peiliang Gao Xueying Fu Yuran Wang Jihong Zhu Guiying Dong Case Report: A man with septic shock developed convulsions Frontiers in Medicine septic shock convulsion case report infective endocarditis erysipelas deep venous thrombosis |
| title | Case Report: A man with septic shock developed convulsions |
| title_full | Case Report: A man with septic shock developed convulsions |
| title_fullStr | Case Report: A man with septic shock developed convulsions |
| title_full_unstemmed | Case Report: A man with septic shock developed convulsions |
| title_short | Case Report: A man with septic shock developed convulsions |
| title_sort | case report a man with septic shock developed convulsions |
| topic | septic shock convulsion case report infective endocarditis erysipelas deep venous thrombosis |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1605482/full |
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