Abstract Details

Title Retrieved Arterial Clot Helps Guide Antibiotic Therapy in Infective Endocarditis

Topic Cerebrovascular Disease and Interventional Neurology

Presentation(s) Cerebrovascular Disease and Interventional Neurology Posters (7:00 AM-5:00 PM)

Poster/Presentation
Number 215

Background The introduction of mechanical thrombectomy (MT) in the first 24 hours of last known normal for patients with large vessel occlusion who had a mismatch between clinical deficit and infarct has revolutionized the way we treat acute ischemic strokes. Studies have been emerging to discuss clot analysis as a potential supportive measure in recognizing stroke etiology.

Objective

Description of a potentially new diagnostic method for infective endocarditis complicated by cerebrovascular events.

Design/Methods

Case report.

Results CASE PRESENTATION: We report a case of an ischemic stroke secondary to Streptococcus Viridans infective endocarditis diagnosed by identifying bacterial colonies in the recovered thrombus from the left middle cerebral artery, despite negative blood cultures and unrevealing transthoracic echocardiogram.

Conclusions

We shed the light in this case report on the benefit of using MT as a possible supportive diagnostic method in the early recognition of endocarditis and other stroke etiologies by pathological and microbiological examination of the clot, which in our case, was crucial in achieving the diagnosis and initiating treatment in a timely fashion.

Authors/Disclosures
Lama Abdel Wahed, MD (University of Iowa, Neurology) PRESENTER	Dr. Abdel Wahed has received personal compensation in the range of $0-$499 for serving as a Resident Honorary Speaker with Iowa Neurological Association. Dr. Abdel Wahed has received personal compensation in the range of $0-$499 for serving as a Author with MedLink. Dr. Abdel Wahed has received personal compensation in the range of $500-$4,999 for serving as a Author with AAN Continuum.
Amir Shaban, MD (University of Iowa)	Dr. Shaban has nothing to disclose.
	No disclosure on file
Kaustubh S. Limaye, MD (Indiana University School of Medicine)	Dr. Limaye has nothing to disclose.