Clinicopathological conference: case report--a case of anorexia and weak arm.
The authors present the case of a 49-year-old female who presented to the emergency department with a chief complaint of "not eating well." She was found to have a heart murmur, a focal neurological deficit, and large mitral valve vegetation. The patient was later diagnosed with acute Pseudomonal endocarditis with septic emboli to the brain, liver, spleen, and kidneys. A discussion of the patient presentation, diagnostic evaluation, and outcome are reviewed.
Wiler
Jennifer L
JL
Department of Emergency Medicine, Drexel University College of Medicine, Philadelphia, PA, USA. jennifer_wiler@yahoo.com
Bailey
Heatherlee
H
D000855:Anorexia / Q000209:etiology; D020520:Brain Infarction / Q000175:diagnosis; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000175:diagnosis / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007238:Infarction / Q000000981:diagnostic imaging; D020762:Infarction, Posterior Cerebral Artery / Q000175:diagnosis; D007668:Kidney / Q000098:blood supply; D008099:Liver / Q000098:blood supply; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D008943:Mitral Valve / Q000382:microbiology; D018908:Muscle Weakness / Q000209:etiology; D011552:Pseudomonas Infections / Q000175:diagnosis; D011859:Radiography; D013154:Spleen / Q000098:blood supply