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Case Reports
Right-sided infective endocarditis presenting with purpuric skin rash and cardiac failure in a patient without fever.
- Ranjan K Shetty, G Vivek, Kushal Naha, and Sreedivya Bekkam.
- Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India.
- BMJ Case Rep. 2013 Jan 25; 2013.
AbstractWe describe the case of a 70-year-old woman who presented with symptoms of cardiac failure, and was found on clinical examination to have a purpuric rash over her lower extremities. Further evaluation of cardiac failure revealed tricuspid regurgitation with two large tricuspid valve vegetations. Blood cultures yielded a growth of Streptococcus viridans. She was treated with an intravenous ceftriaxone and gentamicin and made a complete recovery with resolution of the rash.
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