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Severe acute myocardial infarction during a staphylococcal septicemia with meningoencephalitis |
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| Authors: | C A Reynard P Calain G P Pizzolato Dr J C Chevrolet |
| Institution: | (1) Cardiology Center, CH-1211 Geneva, Switzerland;(2) Division of Infectious Diseases, CH-1211 Geneva, Switzerland;(3) Medical Intensive Care Unit, Geneva University Hospital, Geneva, Switzerland;(4) Department of Pathology (Neuropathology), Centre Médical Universitaire, CH-1211 Geneva, Switzerland |
| Abstract: | We report the first case of lethal intracranial haemorrhage complicating a treatment by rt-PA in a patient presenting with a simultaneous staphylococcal septicemia with meningoencephalitis and an acute myocardial infarction with cardiogenic shock. The presence of microvascular lesions in the central nervous system seems to be important risk factor for intracranial haemorrhage and we recommend extreme caution in the use of thrombolytic treatment in septicemic patients with acute myocardial infarction, particularly when neurological symptoms are present. |
| Keywords: | Myocardial infarction Thrombolysis Meningitis Staphylococcus |
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