Multivalve endocarditis with multiple peripheral and pulmonary embolisms: a case report
Rev Port Cardiol. 2005 Jul-Aug;24(7-8):983-93.
[Article in
English,
Portuguese]
Affiliation
- 1 Serviço de Cardiologia do Hospital de Santa Marta, Lisboa, Portugal. yarispiupiu@iol.pt
Abstract
Fever of unknown origin in elderly patients is a difficult diagnostic problem. Infective endocarditis is often not diagnosed in this group of patients, in whom other etiologies like cancer are considered first. The authors report a case in which an elderly woman with subacute mitral and tricuspid infective endocarditis was correctly diagnosed only after a peripheral embolism. Besides having multiple pulmonary and peripheral embolisms, she developed a left femoral mycotic aneurysm.
MeSH terms
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Aged
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Aneurysm, Infected / etiology
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Endocarditis, Bacterial / complications*
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Endocarditis, Bacterial / drug therapy
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Female
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Fever of Unknown Origin / drug therapy
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Fever of Unknown Origin / etiology
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Heart Valve Diseases / complications*
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Heart Valve Diseases / diagnostic imaging
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Heart Valve Diseases / drug therapy
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Humans
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Mitral Valve* / diagnostic imaging
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Pulmonary Embolism / etiology*
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Staphylococcal Infections / diagnostic imaging
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Staphylococcal Infections / drug therapy
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Tricuspid Valve* / diagnostic imaging
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Ultrasonography