title: Insidious onset of intermittent claudication as the primary manifestation of infective endocarditis.
abstract: Musculoskeletal manifestations of infective endocarditis are well-described in the literature. However, insidious onset of localized calf pain is an uncommon presentation of embolization and may represent a diagnostic challenge owing to the nonspecific nature of the symptoms. This study reviewed the literature and reports a case of infective endocarditis in a patient who presented with bilateral calf pain as the primary complaint and reason for seeking medical attention.
authors.affiliation: Alexander Von Humboldt Tropical Medicine Institute, Cayetano Heredia University, Lima, Peru; Alberto Hurtado School of Medicine, Cayetano Heredia University, Lima, Peru.
authors.forename: George
authors.initials: G
authors.lastname: Vasquez-Rios
authors.affiliation: Alberto Hurtado School of Medicine, Cayetano Heredia University, Lima, Peru.
authors.forename: Maria T
authors.initials: MT
authors.lastname: Gamero
authors.affiliation: Internal Medicine Department, Cayetano Heredia Hospital, Lima, Peru.
authors.forename: Jesus
authors.initials: J
authors.lastname: De la Cruz
authors.affiliation: Department of Cardiology, Miller School of Medicine, University of Miami, Miami, FL.
authors.forename: Gabriel A
authors.initials: GA
authors.lastname: Hernandez
authors.affiliation: Department of Adult Cardiology, St. Luke's Episcopal Hospital, Houston, TX, USA.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Hernandez
authors.affiliation: Cardiology Department, Cayetano Heredia Hospital, Lima, Peru.
authors.forename: Roy
authors.initials: R
authors.lastname: Dueñas
keywords: embolization; endocarditis; ischemia; musculoskeletal pain