ผู้ป่วยสมองขาดเลือดในโรคลิ้นหัวใจอักเสบติดเชื้อ

บทคัดย่อ

          A 15 year-old girl presented with right sided weakness, aphasia, and heart murmur. CT scan of brain showed hypodensity spots at left basal ganglia and left parietal lobe. Echocardiographic evaluation found vegetation at mitral valve size 6.3 mm. with moderate mitral regurgitation. The three blood cultures were positive for penicilin-sensitive alpha-hemolytic streptococcus. She was treated with parenteral penicillin G and gentamicin 6 weeks and 2 weeks respectively. After complete treatment she could walk by herself and vegetation was not found by echocardiography.