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Superior mesenteric artery aneurysm in a patient with infective endocarditis

Published online by Cambridge University Press:  04 March 2015

Jennifer Devon  and
Philip Miller
Jennifer Devon*
Affiliation:
Emergency Department, The Scarborough Hospital, Toronto, ON; Trillium Health Partners – Credit Valley Hospital, Mississauga, ON; and Division of Emergency Medicine, Department of Family and Community Medicine, University of Toronto, Toronto, ON
Philip Miller
Affiliation:
Emergency Department, Lions Gate Hospital, Vancouver, BC
*
Emergency Department, The Scarborough Hospital – General Campus, 3050 Lawrence Avenue East, Toronto, ON M1P 2V5; jennifer.devon@utoronto.ca

Abstract

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Infective endocarditis (IE) is a rare but serious condition. We present a case of endocarditis in a healthy 40-year-old male with no predisposing conditions. His physical examination was suggestive of peripheral microembolization and prompted us to consider the diagnosis of IE and order the appropriate investigations. After treatment, he later presented to the emergency department with abdominal pain, and a superior mesenteric artery aneurysm was discovered. We discuss recent advances in the changing epidemiology and microbiology of IE, review the presentation and diagnosis of IE, and highlight the potential complications of this disease.

Keywords

endocarditisfeverJaneway lesionsStaphylococcus aureus
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 16 , Issue 1 , January 2014 , pp. 84 - 87
Copyright
Copyright © Canadian Association of Emergency Physicians 2014

References

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