title: Splenic infarction due to septic emboli from bacterial endocarditis: A previously unreported cause of hyperamylasaemia.
abstract: We present what maybe the only case of splenic infarction causing hyperamylasaemia in a patient with bacterial endocarditis. A 49-year-old gentleman presented a 24 hour history of vomiting, abdominal pain and fever. Clinical examination showed diffuse upper abdominal tenderness, a mild tachycardia and a low grade pyrexia. Blood investigations showed a hyperamylasaemia. His failure to improve on treatment for a provisional diagnosis of alcohol induced pancreatitis lead to a CT abdomen, which showed a splenic infarct and an echo showing aortic valve vegetation's as a source of emboli. He underwent urgent aortic valve replacement with a tissue valve following which he made an uncomplicated recovery.
authors: Cumberland Infirmary, Carlisle, UK.
authors: C
authors: C
authors: Christou
authors: Cumberland Infirmary, Carlisle, UK.
authors: M
authors: M
authors: Kipling
authors: Cumberland Infirmary, Carlisle, UK.
authors: J
authors: J
authors: Wayman