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{
    "pk": 1489,
    "title": "Internal Carotid Artery Occlusion as a Rare Presentation of Infectious Endocarditis: A Case Report",
    "subtitle": null,
    "abstract": "<p><b>Introduction:</b> Internal carotid artery occlusion as a result of a septic embolism is a rare, commonly fatal, complication of mitral valve infectious endocarditis. Prompt recognition of this condition by the emergency physician may improve the chance of functional neurological survival.&nbsp;</p><p><b>Case Report:</b> A 50-year-old male presented minimally responsive with a right gaze deviation,&nbsp;</p><p>left hemiparesis, and a score of 26 on the National Institutes of Health Stroke Scale. A bedside echocardiogram showed a large mitral valve vegetation, and computed tomography angiography demonstrated an internal carotid artery occlusion.&nbsp;</p><p><b>Conclusion: </b>The emergency physician should consider this potentially life-threatening condition and know the fundamental management recommendations once identified.</p>",
    "language": null,
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "septic embolism; infectious endocarditis; stroke; case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4cq8x3hp",
    "frozenauthors": [
        {
            "first_name": "Thijs",
            "middle_name": "",
            "last_name": "Wolf",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Strong Memorial Hospital, Division of Emergency Medicine, Rochester, New York",
            "department": ""
        },
        {
            "first_name": "Kayla",
            "middle_name": "",
            "last_name": "Dewey",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Strong Memorial Hospital, Division of Emergency Medicine, Rochester, New York",
            "department": ""
        },
        {
            "first_name": "David",
            "middle_name": "",
            "last_name": "Adler",
            "name_suffix": "",
            "institution": "University of Rochester Medical Center, Strong Memorial Hospital, Division of Emergency Medicine, Rochester, New York",
            "department": ""
        }
    ],
    "date_submitted": "2023-07-03T21:04:35.290000+03:00",
    "date_accepted": "2023-07-03T21:07:16.298000+03:00",
    "date_published": "2023-08-14T19:00:00+03:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1489/galley/1130/download/"
        }
    ]
}