Right-sided infective endocarditis presenting with purpuric skin rash and cardiac failure in a patient without fever.
We describe the case of a 70-year-old woman who presented with symptoms of cardiac failure, and was found on clinical examination to have a purpuric rash over her lower extremities. Further evaluation of cardiac failure revealed tricuspid regurgitation with two large tricuspid valve vegetations. Blood cultures yielded a growth of Streptococcus viridans. She was treated with an intravenous ceftriaxone and gentamicin and made a complete recovery with resolution of the rash.
Department of Cardiology,  Kasturba Medical College, Manipal, Karnataka,  India.
Ranjan K
RK
Shetty
G
G
Vivek
Kushal
K
Naha
Sreedivya
S
Bekkam
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006333:Heart Failure / Q000382:microbiology*; D006801:Humans; D011693:Purpura / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D014261:Tricuspid Valve / Q000382:microbiology*; D034363:Viridans Streptococci
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D002443:Ceftriaxone