Lao Medical Journal 2013;4(4):46-54

Uncommon Presentation of Infective Endocarditis

Pany Kesone 1 ; Sayaphet Rattanavong 2 ; Khamthavy Thepsouvanh 3 ; Vang Chu 1 ; Rattanaphone Phetsouvanh 4 ; Mayfong Mayxay 5 ; David Dance 3 ; Paul Newton 6

Affiliations

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Keywords

Infective endocarditis, Unusual presentation, Abiotrophia defectiva, Lao PDR

Country

Lao People's Democratic Republic

Language

Lao

Abstract

Diagnosis of infective endocarditis is challenging as the clinical diversity of the disease sometimes misleads clinicians in the recognition, correct diagnosis and rapid treatment, which are important to reduce the morbidity and mortality associated with this disease. We report the case of a 14-year-old girl who presented with left axillary pain and fever. She was eventually diagnosed with infective endocarditis caused by Abiotropia defectiva, complicated by a large saccular aneurysm of the left axillary artery.