Wunderlich syndrome as first manifestation of infective endocarditis.
Infective endocarditis (IE) presents with several signs and symptoms that are mainly heart-related and the result of bacteremia. We describe the case of a woman with severe renal hemorrhage due to a septic embolic cortical infarction, who was also receiving anticoagulation therapy because of cardiopathy, whose retroperitoneal hematoma was the first manifestation of IE.
Department of Urology, La Fe University Hospital, Valencia, Spain. jmalapont@mundofree.com
José Miguel
JM
Alapont
José Luís
JL
Pontones
Alvaro
A
Gómez-Ferrer
Salvador
S
Rivas
Juan Fernando
JF
Jiménez-Cruz
D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D004617:Embolism / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D007674:Kidney Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D013577:Syndrome
D000925:Anticoagulants