Case 600 · ICHD-3 9.2.1.2

9.2.1.2 Chronic headache attributed to systemic bacterial infection

Origin

Synthetic

Language

English — also available in German

Contributed by

Imported case — HeadAI synthetic vignettes (de Andrade JBC, da Silva Costa TB, Vasconcelos JL, Lopes TLM, Balsells MD, Cristofolini VL, Querobin SO, Filho FMR. Validation of an AI-based platform for structured diagnosis of headache disorders using ICHD-3 criteria. BMC Neurology 25, 489 (2025). doi:10.1186/s12883-025-04473-1. Dataset: Andrade J. Head.AI Platform. Mendeley Data, V2 (2025). doi:10.17632/4fms6cw2s5.2)

Anamnesis

History: A 32-year-old female patient with a previous diagnosis of bacterial endocarditis caused by Staphylococcus aureus (confirmed by blood cultures), treated with antibiotic therapy for 6 weeks. After resolution of the infection, she continues to experience a fronto-occipital, pulsatile headache for 3 months, without nausea or vomiting. Current physical examination shows no meningeal signs or neurological deficits. Previous lumbar puncture during the infection showed mild pleocytosis, but culture and PCR for bacteria were negative. Cranial CT scan without alterations.

Report this case — e.g. suspected re-identification risk.