TY - CHAP M1 - Book, Section TI - Bacterial Endocarditis A1 - Sheikh, Danish A1 - Delzell, Jr, John E. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 25-year-old man presented to the office because he had been feeling tired and feverish for several weeks. He admitted to injecting heroin regularly in the last 2 months. On examination, he was febrile and had a heart murmur of which he was previously unaware. His fingernails showed splinter hemorrhages (Figure 52-1). His funduscopic examination revealed Roth spots (Figures 52-2 and 52-3). An echocardiogram demonstrated vegetation on the tricuspid valve. He was hospitalized and treated empirically for bacterial endocarditis. After his blood cultures returned Staphylococcus aureus, his regimen was adjusted based on sensitivities and continued for 6 weeks. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - dermatology.mhmedical.com/content.aspx?aid=1164346983 ER -