| Period | 2015-04-01~2015-04-30 |
|---|---|
| Diagnosis | septic embolic infarcts (due to infective endocarditis) |
| Clinical information | 40/F Fever, chill, myalgia |
| Discussion | Dx. Multiple, septic embolic infarcts (due to infective endocarditis) - Cause: Infective endocarditis, Pulmonary AVM, pulmonary infection, IV drug use, infected catheters with cardiac septal defects. - Pattern of multifocal embolic infarct: multiple, GM-WM junction, rim enhancement, hemorrhage(+) - DWI(+) in embolic infarcts and septic emboli smaller than typical embolic infarcts persistent mass effect, edema, and enhancement in spite of treatment. - Complication: brain abscess, mycotic aneurysm, or obliterative vasculitis - Multiple infarct lesions with vascular distribution, gray-white matter junction - Hemorrhage favors |
| Correct answer |
Correct Answer
Semi-Correct Answer |