title: Multivalve endocarditis with multiple peripheral and pulmonary embolisms: a case report.
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.
authors.affiliation: Serviço de Cardiologia do Hospital de Santa Marta, Lisboa, Portugal. yarispiupiu@iol.pt
authors.forename: Anabela
authors.initials: A
authors.lastname: Pinto
authors.forename: Luísa Moura
authors.initials: LM
authors.lastname: Branco
authors.forename: Nuno
authors.initials: N
authors.lastname: Pelicano
authors.forename: Joana
authors.initials: J
authors.lastname: Feliciano
authors.forename: Gonçalo
authors.initials: G
authors.lastname: Sobrinho
authors.forename: Ana F
authors.initials: AF
authors.lastname: Agapito
authors.forename: Spencer
authors.initials: S
authors.lastname: Salomão
authors.forename: Mota
authors.initials: M
authors.lastname: Capitão
authors.forename: Jorge
authors.initials: J
authors.lastname: Quininha
mesh_terms: 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