Medical image of the week: infective endocarditis in an IV drug user

Southwest Journal of Pulmonary and Critical Care

卷:7

关键词: endocarditis;    mitral valve;    vegetation;    intravenous drug abuse;    echocardiogram;    ultrasound;    intracardiac mass;   

DOI  :  http://dx.doi.org/10.13175/swjpcc156-13

来源: DOAJ

【 摘 要 】

A 30 year old man presented with a one week history of fever, chills, body aches, and fatigue, as well as lower extremity and right wrist edema and pain. The patient also had a history of intravenous (IV) drug use. On exam, a previously undocumented 3/6 blowing crescendo murmur was heard at the fifth intercostal space in the midclavicular line. Transthoracic echocardiogram demonstrated a large, irregular, mobile mass, measuring 2.0 x 2.5 cm, attached to the posterior mitral annulus (Figure 1). Cardiothoracic surgery performed a primary repair of the mitral valve.

【 授权许可】

Unknown