Diagnostic challenge : an atypical presentation of infective endocarditis

© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ..

It is recognised that infective endocarditis is frequently a challenging diagnosis to make, as it may present with a range of non-specific symptoms. A middle-aged man was admitted with an 8-day history of profuse non-bloody diarrhoea and vomiting. He had no medical history and no identifiable risk factors for infective endocarditis, and so this in combination with the patient's atypical symptoms presented a diagnostic challenge. The patient was eventually diagnosed with a Staphylococcus aureus right-sided infective endocarditis. This case report explores the events which led to this diagnosis and demonstrates a number of unique learning points. It also highlights the importance of maintaining an open mind and being prepared to revise an initial diagnosis in the face of medical uncertainty.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

BMJ case reports - 14(2021), 1 vom: 25. Jan.

Sprache:

Englisch

Beteiligte Personen:

Parente, Cristina Sarah [VerfasserIn]
Sandland-Taylor, Laura Emma [VerfasserIn]
Akhtar, Waheed [VerfasserIn]

Links:

Volltext

Themen:

33X04XA5AT
9007-41-4
C-Reactive Protein
Case Reports
Infections
Journal Article
Lactic Acid
Medical education
Medical management
Valvar diseases

Anmerkungen:

Date Completed 22.02.2021

Date Revised 10.11.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bcr-2020-239994

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM32057203X