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A Case of Aortic Valve Infective Endocarditis with Dermatological Findings of Infective Endocarditis

Amitoj S Sachdeva1, Jorge O Gomez2, Keattiyoat Wattanakit2

  • 1Internal Medicine, University of Illinois School of Medicine at Peoria, Peoria, USA.

Cureus
|April 14, 2022
PubMed

Insights

Infective endocarditis, a serious heart infection, can present with symptoms mimicking cardiac emergencies. Early recognition of specific physical signs is crucial for timely diagnosis and treatment of this high-mortality condition.

Area of Science:

  • Cardiology
  • Infectious Diseases

Background:

  • Infective endocarditis (IE) poses significant risks for morbidity and mortality.
  • Diagnostic workups for chest pain often prioritize coronary artery disease and acute coronary syndrome.

Observation:

  • A patient presented with chest pain, initially evaluated for cardiac emergencies.
  • Key physical examination findings, including Janeway lesions, Osler's nodes, and splinter hemorrhages, suggested infective endocarditis.
  • The patient's history also contributed to the suspicion of IE.

Findings:

  • The case highlights classic physical manifestations of infective endocarditis.
  • Pathophysiology of these peripheral stigmata in IE is discussed.
  • Correlation between physical findings and underlying infective endocarditis is emphasized.

Implications:

  • Early recognition of specific physical signs can expedite IE diagnosis.
  • Prompt treatment of infective endocarditis is essential to reduce morbidity and mortality.
  • This case underscores the importance of considering IE in patients with suggestive physical findings, even with initial cardiac concerns.

Keywords:
aortic valve endocarditisinfective endocarditisjaneway lesionsosler nodesstaph aureus endocarditis

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