Dermatologic Conundrum: A Cardiac Condition Masqueraded as a Dermatologic Distraction.
Journal
Case reports in infectious diseases
ISSN: 2090-6625
Titre abrégé: Case Rep Infect Dis
Pays: Egypt
ID NLM: 101573243
Informations de publication
Date de publication:
2020
2020
Historique:
received:
19
06
2019
revised:
21
12
2019
accepted:
20
01
2020
entrez:
2
4
2020
pubmed:
2
4
2020
medline:
2
4
2020
Statut:
epublish
Résumé
A 38-year-old male presented to the emergency department (ED) complaining of extreme pain and a petechial rash on the left ankle for two weeks associated with generalized fatigue, intermittent fevers, and weight loss. He was discharged home from the ED on pain medications. He returned a few days later with a progressive rash that involved the entire left lower extremity to the level of the knee. He was diagnosed with herpes zoster (shingles) and was prescribed acyclovir and steroids. After several days, the patient presented for the third time to the ED. He developed a right lower extremity discomfort this time. The pain in bilateral lower extremities had become unbearable. His cardiac examination revealed a systolic murmur at the apex and a faint diastolic murmur at the left sternal border. Ultimately, he had an echocardiogram that demonstrated both a bicuspid aortic valve and large vegetation on the anterior leaflet of the mitral valve, and his blood culture grew
Identifiants
pubmed: 32231819
doi: 10.1155/2020/5314503
pmc: PMC7086409
doi:
Types de publication
Case Reports
Langues
eng
Pagination
5314503Informations de copyright
Copyright © 2020 George Degheim et al.
Déclaration de conflit d'intérêts
The authors declare that there are no conflicts of interest.
Références
J Am Board Fam Pract. 2001 Nov-Dec;14(6):451-6
pubmed: 11757888
JAMA Dermatol. 2014 May;150(5):494-500
pubmed: 24500311
Arch Intern Med. 2009 Mar 9;169(5):463-73
pubmed: 19273776
Intern Med. 2009;48(16):1487-8
pubmed: 19687607
Circulation. 2015 Oct 13;132(15):1435-86
pubmed: 26373316
N Engl J Med. 2013 Apr 11;368(15):1425-33
pubmed: 23574121
J Am Coll Cardiol. 2018 Jun 19;71(24):2731-2740
pubmed: 29903346
Lancet. 2016 Feb 27;387(10021):882-93
pubmed: 26341945
Am J Med. 1994 Mar;96(3):200-9
pubmed: 8154507
Infect Dis Clin North Am. 1996 Dec;10(4):811-34
pubmed: 8958170