Neurologic Complaints in a Patient with Infective Endocarditis

BackgroundInfectious intracranial aneurysms constitute a small subgroup of all intracranial aneurysms, but are an important cause of neurologic complaints in patients with infective endocarditis. Objective: To describe a potentially fatal cause of neurologic complaints in patients with endocarditis. Case Report: We report a case of a 33-year-old woman with Streptococcus sanguinis endocarditis and several neurologic complaints including right arm numbness, confusion, and occasional word-finding difficulty that were found to be secondary to infectious intracranial aneurysm.ConclusionEarly consideration of intracranial infectious aneurysm in patients with infective endocarditis and neurologic symptoms is critical. Therapeutic intervention is often effective, and risk of aneurysm rupture is high.