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Anales de Medicina Interna
versión impresa ISSN 0212-7199
MUNOZ MORENTE, A. et al. Anticoagulation with bemiparina after intracerebral hemorrhage as complication of bacterial endocarditis on metallic prosphetic valve. An. Med. Interna (Madrid) [online]. 2004, vol.21, n.11, pp.45-49. ISSN 0212-7199.
We present the case of a patient with an intracerebral hemorrhage as complication of an infectious endocarditis (EI) produced by Neisseria sicca on a prosthetic mitral valve. The patient was anticoagulated previously with Acenocumarol as prophylaxis of thrombosis of the prosthetic valve. He was diagnosed as having IE and later he presented neurological symptoms as consequence of several intracerebral hemorrhagic foci. We decided to continue the anticoagulation with sodium heparine followed of Bemiparina and no new hemorrhagic complications nor thrombosis of the valve were observed after three months of the event. We have not found in the literature any case where low molecular weight heparine has been used as method of anticoagulation in these cases beyond two weeks.
Palabras clave : Infectious endocarditis; Neisseria sicca; Intracerebral hemorrhage; Low molecular weight heparine.