title: Unusual presentation of endocarditis with nutritional variant Streptococci.
abstract: Patients presenting with endocarditis often will give clues to the diagnosis within the history and the physical exam. A history of valvular heart disease and obvious signs of bacteriemia are classical stigmata of infective endocarditis. However, we should keep in mind that endocarditis can present with unusual signs and symptoms that can mislead to the wrong diagnosis and if unrecognized it can lead to severe complications.
authors.affiliation: Internal Medicine Department, Bridgeport Hospital/Yale University, Bridgeport, CT, USA.
authors.forename: Razvan T
authors.initials: RT
authors.lastname: Dadu
authors.affiliation: Internal Medicine Department, Bridgeport Hospital/Yale University, Bridgeport, CT, USA.
authors.forename: Ramona
authors.initials: R
authors.lastname: Dadu
authors.affiliation: Internal Medicine Department, Bridgeport Hospital/Yale University, Bridgeport, CT, USA ; Infectious Disease Department, Bridgeport Hospital/Yale University, Bridgeport, CT, USA.
authors.forename: Saul
authors.initials: S
authors.lastname: Zane
keywords: diplopia; infective endocarditis; nutritional variant Streptococcus; septic embolism