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dc.contributor.authorRuiz García, Juan 
dc.contributor.authorCanal Fontcuberta, Irene
dc.date.accessioned2017-02-01T11:58:14Z
dc.date.available2017-02-01T11:58:14Z
dc.date.issued2016
dc.identifier.issn0002-9149
dc.identifier.urihttp://hdl.handle.net/10641/1265
dc.description.abstractA 72-year-old woman was admitted to our hospital with fever >38 C of unknown origin. Blood cultures were positive in 2 sets for Staphylococcus aureus. In the third day of admission, her husband drew attention to the presence of some small punctures in her right foot (Figure 1). Several small and nontender, erythematous, and hemorrhagic macular lesions were found on her sole (Janeway lesions). Besides, we detected some painful and palpable, erythematous nodules involving the pads of her toes (Osler nodes). At this point, according to the modified Duke criteria, the clinical diagnosis of definite infective endocarditis might be established. In addition, the transesophageal echocardiogram just confirmed the presence of a large vegetation attached to the posterior leaflet of the mitral valve. Although the diagnosis of infective endocarditis may be challenged, sometimes there are simple clues: next time lift the bed sheets!spa
dc.language.isoengspa
dc.publisherJournal of Cardiologyspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/es/*
dc.subjectInfective endocarditisspa
dc.subjectFeverspa
dc.subjectSkinspa
dc.subjectClinical diagnosisspa
dc.titleDiagnosis of Active Infective Endocarditis from Examination of the Toes and Soles.spa
dc.typearticlespa
dc.description.versionpre-printspa
dc.rights.accessRightsopenAccessspa
dc.description.extent380 KBspa


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