Frank emboli of the brain are not uncommon in endocarditis of the acute or subacute variety and are usually manifest by hemiplegia, monoplegia or paralysis of a cranial nerve, but emboli producing symptoms of meningitis have only rarely been reported. In an article on subacute endocarditis, Osler1 spoke of cases showing predominant meningeal symptoms but did not go into detail. My purpose in this paper is to record a case in which, as a complication of a subacute endocarditis, an accompanying meningitis occurred. Such complications are rare, yet they probably occur much more frequently than would seem to be the case, for in many such instances the usual diagnosis made is that of encephalitis.
REPORTS OF CASES IN THE LITERATURE
P. Lereboullet and J. Mouzon reported2 a case of subacute endocarditis or, as the French call it, prolonged infectious endocarditis, which showed meningeal symptoms. Their patient had severe
Ullom JT. SUBACUTE ENDOCARDITIS SIMULATING MENINGITIS. Arch NeurPsych. 1929;21(2):418–423. doi:10.1001/archneurpsyc.1929.02210200174016
Customize your JAMA Network experience by selecting one or more topics from the list below.