RT Book, Section
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.
SR Print(0)
ID 1164346983
T1 Bacterial Endocarditis
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164346983
RD 2024/04/18
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.