Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Classic Peripheral Signs of Subacute Bacterial Endocarditis

  • Chong, Yooyoung (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Han, Sung Joon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Rhee, Youn Ju (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Kang, Shin Kwang (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Yu, Jae Hyeon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Na, Myung Hoon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
  • Received : 2015.09.01
  • Accepted : 2015.10.05
  • Published : 2016.10.05
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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.

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References

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  1. Infectious endocarditis: An update for emergency clinicians vol.36, pp.9, 2016, https://doi.org/10.1016/j.ajem.2018.06.074