A Forgotten Clinical Sign Making A Comeback
- Author:
Chiam Keng Hoong
;
A Hing Chan Tha
;
Low Lee Lee
- Publication Type:Case Reports
- Keywords:
Infective endocarditis;
Osler Nodes;
Janeway lesions
- From:
The Medical Journal of Malaysia
2014;69(1):40-41
- CountryMalaysia
- Language:English
-
Abstract:
We report a case of Staphylococcus aureus infective
endocarditis in a patient presenting with fever and rare
cutaneous manifestations of Osler Nodes and Janeway
Lesions. There had not been any distinct risk factors. His
echocardiography subsequently revealed vegetation at the
anterior mitral valve leaflet. As Staphylococcus aureus
infective endocarditis is of utmost significance in morbidity
and mortality, a sharp clinical acumen and follow up
investigations is required alongside a prolonged course of
antibiotics. Our patient was then started on intravenous
cloxacillin for 28 days and gentamicin for 5 days to which he
made good progress and recovery.
- Full text:P020150724586642095421.pdf
