47 year old male with 1 week of cold sweats, temp >38c, head | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

Some actions are only available when you log in.

Report case
Report this to our moderators

47 year old male with 1 week of cold sweats, temp >38c, head and joint ache. 6 months ago he had a biological aortic valve replacement.

This, and 100ml of pus and dead tissue is what we found after he was admitted with suspected endocarditis. Possible cause of infection?

More about this case

Resolved Trending

Why you should join Figure 1

Similar cases



A 55-year-old female presents with a low-grade fever, a new heart murmur, and Janeway lesions one week following a dental cleaning, and a preliminary diagnosis of infective endocarditis is made. Prophylactic antibiotics are administered prior to dental cleanings to prevent endocarditis in patients considered to be high-risk. Which of the following valvular conditions requires prophylactic antibiotics prior to dental cleanings? Image credit: @michaeldean.](https://app.figure1.com/case-detail/435ac9d6-e7a4-4a16-a274-4d78cb26e71e)



48yo male with history of IVDA and non compliant with endocarditis treatment. Mitral valve and aortic vale replacement. The vegetation from mitral valve.](https://app.figure1.com/case-detail/4fe9ea7f-efc8-44d3-90af-f91cffbb3ae9)



Splinter hemorrhage in patient with Staphylococcus aureus #Prosthetic-valvular-endocarditis. Died 48h later with major cerebral #Hemorrhage](https://app.figure1.com/case-detail/51cfa506-8bcf-46c9-a9d9-531522796d94)



A 45-year-old man presents to emergency department with a history of fever and rigors for 2 weeks. On examination he is pyrexial tachycardic and noted to have splinter hemorrhages on right middle and index fingers. Where on the echocardiogram are vegetations most likely to occur?
A. Aortic and mitral valve
B. Aortic valve
C. Mitral valve
D. Pulmonary valve
E. Tricuspid valve
Question from Neurosurgery Self-Assessment: Questions and Answers, 1st edition, by Rahul S. Shah. ISBN: 9780323374804. Copyright ©2017 Elsevier, Inc.