CASE REPORT article
Front. Med.
Sec. Infectious Diseases: Pathogenesis and Therapy
Volume 12 - 2025 | doi: 10.3389/fmed.2025.1605482
Case Report: a man with septic shock developed convulsion
Provisionally accepted
- 1Peking University People's Hospital, Beijing, China
- 2Emergency Department, Peking University People's Hospital, Beijing, Beijing Municipality, China
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Embolism has variable manifests in infective endocarditis and might be misinterpreted in clinical settings. Here we reported a 67-year-old man with erysipelas and septic shock had a new onset blurred vision and finally developed convulsion and multiple cerebral infarctions. Valve vegetations and patent foramen ovale was negative on the first echocardiography. After the neurologic symptom occurring, repeated echocardiography was performed and revealed vegetations on mitral valves. As the patient had immunological complications, we suggested a prolonged antibiotics therapy, while the patient requested an early discharge due to financial concern. Under such circumstances, a longacting penicillin G by intramuscular injection for once was an alternative therapy before discharge. For patients with bloodstream infection having any new onset symptoms related to arterial occlusion should be aware of infective endocarditis and repeated echocardiography is necessary.
Keywords: septic shock, convulsion, case report, Infective endocarditis, Erysipelas, Deep venous thromboses
Received: 03 Apr 2025; Accepted: 26 Jun 2025.
Copyright: © 2025 Huang, Gao, Fu, Wang, Zhu and Dong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Guiying Dong, Emergency Department, Peking University People's Hospital, Beijing, 100044, Beijing Municipality, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.