Korean J Thorac Cardiovasc Surg.  2016 Oct;49(5):408-412. 10.5090/kjtcs.2016.49.5.408.

Classic Peripheral Signs of Subacute Bacterial Endocarditis

• Chong Y
• Han SJ
• Rhee YJ
• Kang SK
• Yu JH
• Na MH

• KMID: 2354380
• DOI: http://doi.org/10.5090/kjtcs.2016.49.5.408

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.

Keyword

Endocarditis; Subacute bacterial

MeSH Terms

Anti-Bacterial Agents
Aortic Valve
Aortic Valve Insufficiency
Diagnosis
Endocarditis
Endocarditis, Subacute Bacterial*
Female
Heart Murmurs
Hemorrhage
Humans
Middle Aged
Physical Examination
Anti-Bacterial Agents