2005 suplement 1

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Volume 14, suplement 1

Case report

Neuropsychiatrie symptoms associated with infectious endocarditis

MARIUSZ ŚLOSARCZYK1, TERESA MARIA RÓG2
1. Kliniki Psychiatrii Dzieci i Młodzieży Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie
2. Kliniki Neurologicznej Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie
Postępy Psychiatrii i Neurologii 2005; 14 (supl. 1/20): 21-106
Keywords: infectious endocarditis, neuropsychiatric complications

Abstract

Objective. Neurological symptoms are among the most frequent complications of infectious endocarditis (IE), and quite often are its first manifestation. The proper diagnosis of the underlying primary disease may be difficult.

Case. In a 22-year-old patient with massive neuropsychiatric disorders difficult to describe precisely IE was recognised as the primary cause not earlier than after a few weeks.

Commentary. Difficulties in the differential diagnosis of severe thinking and speech disorders were pointed out, and the pivotal role of careful questioning for obtaining case histories in the diagnostic process was emphasized.

Address for correspondence:
Dr Mariusz Ślosarczyk, Klinika Psychiatrii Dzieci i Młodzieży Collegium Medicum Uniwersytetu Jagiellońskiego, ul. Kopernika 21b, 31-501 Kraków, e-mail: slosarczyk@poczta.onet.pl