Multiple embolism in a female patient with infective endocarditis. Low back pain and hematuria as the initial clinical manifestations.
A 59-year-old female patient with mitral valve prolapse and a previous history of lumbosacral spondyloarthrosis and lumbar disk hernia had an episode of infective endocarditis due to Streptococcus viridans, which evolved with peripheral embolism to the left kidney, spleen, and left iliac artery, and intraventricular cerebral hemorrhage. Her clinical manifestations were low back pain and hematuria, which were initially attributed to an osteoarticular condition. Infective endocarditis is a severe polymorphic disease with multiple clinical manifestations and it should always be included in the differential diagnosis by clinicians.
Hospital e Maternidade São Luiz, São Paulo, Brazil. mlcvieira@aol.com
Marcelo Luiz Campos
ML
Vieira
Mônica Luisa Rappi
ML
Schmidt
Marcos Valério Coimbra
MV
de Resende
Luis Sérgio Afonso
LS
de André Júnior
D000583:Amikacin / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D004617:Embolism / Q000209:etiology*; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D008875:Middle Aged; D008945:Mitral Valve Prolapse / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D013291:Streptococcus; D014640:Vancomycin / Q000627:therapeutic use
D002511:Cephalosporins; D014640:Vancomycin; D002443:Ceftriaxone; D000583:Amikacin