title: Classic Peripheral Signs of Subacute Bacterial Endocarditis.
abstract: A 50-year-old female patient with visual disturbances was referred for further evaluation of a heart murmur. Fundoscopy revealed a Roth spot in both eyes. A physical examination showed peripheral signs of infective endocarditis, including Osler nodes, Janeway lesions, and splinter hemorrhages. Our preoperative diagnosis was subacute bacterial endocarditis with severe aortic regurgitation. The patient underwent aortic valve replacement and was treated with intravenous antibiotics for 6 weeks postoperatively. The patient made a remarkable recovery and was discharged without complications. We report this case of subacute endocarditis with all 4 classic peripheral signs in a patient who presented with visual disturbance.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine.
authors.forename: Yooyoung
authors.initials: Y
authors.lastname: Chong
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine.
authors.forename: Sung Joon
authors.initials: SJ
authors.lastname: Han
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine.
authors.forename: Youn Ju
authors.initials: YJ
authors.lastname: Rhee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine.
authors.forename: Shin Kwang
authors.initials: SK
authors.lastname: Kang
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine.
authors.forename: Jae Hyeon
authors.initials: JH
authors.lastname: Yu
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine.
authors.forename: Myung Hoon
authors.initials: MH
authors.lastname: Na
keywords: Endocarditis; Subacute bacterial