Medical Case Reports

Subarachnoid Hemorrhage Following Anticoagulation Therapy in a Patient with Infective Endocarditis Complicated by Ischemic Stroke

Infective Endocarditis (IE) can cause ischemic stroke from the embolization of endocardial vegetations, and neurological complications in IE are associated with high morbidity and mortality rates. Most cases of IE can be treated with antibiotics, and cardiac surgery is indicated in some cases. Despite cardiac surgery not being contraindicated for patients with IE complicated by ischemic stroke, it poses risks of hemorrhagic transformation due to required high-dose anticoagulation. We present a patient with Staphylococcus aureus infective endocarditis complicated by ischemic stroke who developed subarachnoid hemorrhage and died within two days after initiation of anticoagulation therapy.

Author(s): Seyma Eroglu and Ilhan Birsenogul

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