title: [Atypical manifestation of infective endocarditis].
abstract: Infective endocarditis is a serious disease associated with a high mortality. The initial presentation may be non-specific and misleading, thus delaying correct diagnosis. In this case report, we describe a 46-year-old woman, who presented with symptoms suggestive of systemic lupus erythematosus, including malar rash, arthritis, acute renal failure and thrombocytopenia, but she was subsequently proven to have infective endocarditis involving the mitral valve. Her rheumatological symptoms diminished after antibiotic therapy and mitral valve surgery.
authors.affiliation: Hjertemedicinsk Afdeling B, Aarhus Universitetshospital, Brendstrupgårdsvej 100, 8200 Aarhus N. mananpareek@dadlnet.dk.
authors.forename: Manan
authors.initials: M
authors.lastname: Pareek
authors.forename: Lars Koch
authors.initials: LK
authors.lastname: Hansen
authors.forename: Dragana
authors.initials: D
authors.lastname: Rujic
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Naderi
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents