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Masaki Naganuma, MD; Kazunori Toyoda, MD; Masatoshi Koga, MD; Hiroyuki Kawano, MD; Hitoshi Matsuda, MD; Kazuo Minematsu, MD

Arch Neurol. 2009;66(9):1168-1169.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 50-year-old man underwent total arch graft replacement surgery for life-threatening thoracic aortic dissection and then developed a postoperative graft infection with methicillin-resistant Staphylococcus aureus. The graft infection was treated by mediastinal lavage and high-pressure vacuum for 3 vessels with omentopexy. A year later, the patient became febrile and started taking oral and intravenous antibiotics at an outpatient clinic.

A few months later, he suddenly developed dysarthria and right hemiparesis and was emergently admitted to our stroke center. On laboratory examinations, the white blood cell count (18000/µL; to convert to x10⁹ per liter, multiply by 0.001) and the highly sensitive C-reactive protein level (150.5 mg/L; to convert to nanomoles per liter, multiply by 9.524) were elevated. Diffusion-weighted magnetic resonance imaging demonstrated fresh small infarcts scattered in both cerebral and both . . . [Full Text of this Article]

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