Presence of concomitant asymptomatic and symptomatic emboli resulting from acute staphylococcus aureus endocarditis

The Medicine Forum

Bradley, MD, Jason T.¹  Ramachandran, MD, Siva¹  Orr, MD, Nicole M.¹ 

[1] Thomas Jefferson UniversityThomas Jefferson UniversityThomas Jefferson University

关键词: concomitant asymptomatic;    symptomatic emboli;    acute staphylococcus aureus endocarditis;    internal medicine;    thomas jefferson university;    the medicine forum;   

DOI  :  

学科分类：医学（综合）

来源: Thomas Jefferson University

【 摘 要 】

A 25-year-old male intravenous heroin user with Hepatitis C presented with a syncopal episode and left sided weakness. Examination revealed sub-conjunctival hemorrhages and diffuse bilateral petechiae on his lower extremities. He had multiple irregular, erythematous, painless macules on his hands and feet, and linear, red, subungal lesions bilaterally. These findings were consistent with Janeway lesions and splinter hemorrhages, respectively. His vital signs were stable on admission. Cardiac auscultation revealed a grade 2/6 holosystolic apical murmur radiating to the axilla. A brain MRI revealed multiple areas of hyperdensity, particularly in the right parietal lobe (Figure 1). Blood tests revealed leukocytosis and six of six blood cultures yielded methicillin sensitive Staphylococcus Aureus. The patient was treated with intravenous nafcillin and gentamicin.

【 授权许可】

Unknown