Multivalve endocarditis with multiple peripheral and pulmonary embolisms: a case report.
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.
Pinto
Anabela
A
Serviço de Cardiologia do Hospital de Santa Marta, Lisboa, Portugal. yarispiupiu@iol.pt
Branco
Luísa Moura
LM
Pelicano
Nuno
N
Feliciano
Joana
J
Sobrinho
Gonçalo
G
Agapito
Ana F
AF
Salomão
Spencer
S
Capitão
Mota
M
Quininha
Jorge
J
D000368:Aged; D000785:Aneurysm, Infected / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000188:drug therapy; D005260:Female; D005335:Fever of Unknown Origin / Q000188:drug therapy / Q000209:etiology; D006349:Heart Valve Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000209:etiology*; D013203:Staphylococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy; D014261:Tricuspid Valve / Q000000981:diagnostic imaging; D014463:Ultrasonography