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Culture Negative Infective Endocarditis Presenting as Renal Infarction in a Low-risk Young Woman: A Case Report
Sandip Pandey1, Anu Timalsina2, Sagar Pokhrel1
1B.P. koirala Institute of Health Sciences, Dharan, Sunsari, Nepal.
JNMA; Journal of the Nepal Medical Association
|March 5, 2026
Summary
Culture-negative infective endocarditis, often presenting with vague symptoms, can be challenging to diagnose. Renal infarction may be an early indicator, highlighting the need for prompt suspicion and care.
Area of Science:
- Cardiology
- Infectious Diseases
- Nephrology
Background:
- Culture-negative infective endocarditis (IE) presents diagnostic challenges due to nonspecific symptoms.
- Early recognition is crucial as delayed diagnosis worsens patient outcomes.
- Renal infarction is an uncommon but significant presenting sign of IE.
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