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. 2009 Nov 9;2010:841797. doi: 10.4061/2010/841797

Table 1.

Clinical characteristics and outcomes of reported cases of thrombolysis in infective endocarditis.

Ref. no Year Age Gender IE suspected Organism Fever Symptoms Admission NIHSS Score Imaging prior to thrombolysis Thrombolytic used Time interval Microaneurysms Discharge NIHSS score Bleeding complication
1 2003 31 F Prethrombolysis Streptococcus mitis Absent Limb weakness Vertigo Tinnitus Gaze palsies 13 CT scan: hypodensity of thalamus Intra-arterial urokinase 5h None on CT NIHSS score 5, no hemorrhage

8 2009 12 F Post thrombolysis Streptococcus pneumoniae Present Acute hemiparesis Aphasia 18 MRI: multiple diffusion-restricted lesions; MRA absent flow in the left internal carotid artery Intra-arterial t-PA 6h None on MRI NIHSS score 5, no hemorrhage

19 2007 56 M Post thrombolysis Beta-hemolytic streptococcus Present Acute hemiparesis Aphasia 15 CT scan: loss of insular ribbon with indistinctness of lentiform nuclei, no hypodensity Intravenous t-PA 2h, 36 min Unknown NIHSS score 4, no hemorrhage

Our case 2009 70 M Post thrombolysis Streptococcus pneumonia Present Acute hemiparesis Aphasia 13 CT scan: hypodensity Intravenous t-PA 2h, 30 min None on MRA NIHSS score 5, no hemorrhage

IE: infective endocarditis; M: male; F: female; NIHSS: National Institute of Health Stroke Scale; CT: computed tomography; MRI: magnetic resonance imaging; MRA: magnetic resonance angiography.