title: Dysphagia as an unusual presentation of infective endocarditis.
abstract: We report a case of a 79-y-old male with enterococcal endocarditis presenting with dysphagia and weight loss. The patient's longstanding underlying bacteremia was thought to have caused pro-inflammatory changes leading to alterations in the neuronal environment affecting peripheral nerve function. Dysphagia improved once antibiotic treatment was initiated.
authors.affiliation: Department of Medicine, Mayo Clinic Rochester, Rochester, MN 55209, USA. lassmann.britta@mayo.edu
authors.forename: Britta
authors.initials: B
authors.lastname: Lassmann
authors.forename: Amina
authors.initials: A
authors.lastname: Khan
authors.forename: Larry M
authors.initials: LM
authors.lastname: Baddour
authors.forename: Paul S
authors.initials: PS
authors.lastname: Mueller
mesh_terms: D000368:Aged; D016470:Bacteremia; D003680:Deglutition Disorders / Q000382:microbiology*; D004698:Endocarditis, Subacute Bacterial / Q000150:complications* / Q000382:microbiology; D013293:Enterococcus faecalis / Q000472:pathogenicity*; D016908:Gram-Positive Bacterial Infections / Q000150:complications*; D006801:Humans; D008297:Male; D015431:Weight Loss