Classic Peripheral Signs of Subacute Bacterial Endocarditis.
10.5090/kjtcs.2016.49.5.408
- Author:
Yooyoung CHONG
1
;
Sung Joon HAN
;
Youn Ju RHEE
;
Shin Kwang KANG
;
Jae Hyeon YU
;
Myung Hoon NA
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine, Korea. thomasna@cnu.ac.kr
- Publication Type:Case Report
- Keywords:
Endocarditis;
Subacute bacterial
- MeSH:
Anti-Bacterial Agents;
Aortic Valve;
Aortic Valve Insufficiency;
Diagnosis;
Endocarditis;
Endocarditis, Subacute Bacterial*;
Female;
Heart Murmurs;
Hemorrhage;
Humans;
Middle Aged;
Physical Examination
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2016;49(5):408-412
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 50-year-old female patient with visual disturbances was referred for further evaluation of a heart murmur. Fundoscopy revealed a Roth spot in both eyes. A physical examination showed peripheral signs of infective endocarditis, including Osler nodes, Janeway lesions, and splinter hemorrhages. Our preoperative diagnosis was subacute bacterial endocarditis with severe aortic regurgitation. The patient underwent aortic valve replacement and was treated with intravenous antibiotics for 6 weeks postoperatively. The patient made a remarkable recovery and was discharged without complications. We report this case of subacute endocarditis with all 4 classic peripheral signs in a patient who presented with visual disturbance.
