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A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks

A palpable tender abdominal mass in a patient with endocarditis on antibiotics for 5 weeks

作     者:Stephanie L. Smeltzer Lourdes C. Corman 

作者机构:Department of Medicine Huntsville Regional Campus University of Alabama at Birmingham School of Medicine Huntsville USA Huntsville Regional Campus University of Alabama at Birmingham School of Medicine Huntsville USA 

出 版 物:《Case Reports in Clinical Medicine》 (临床医学病理报告(英文))

年 卷 期:2013年第2卷第1期

页      面:58-59页

学科分类:1002[医学-临床医学] 100201[医学-内科学(含:心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主  题:Mycotic Aneurysm Pseudoaneurysm Enterococcal Endocarditis 

摘      要:Mycotic aneurysms are a rare finding in the post-antibiotic era but must still be considered as a cause of abdominal pain in a patient with endocarditis. We present a case of a 47-year-old man with a history of IV drug use and a prior episode of endocarditis who developed a mycotic aneurysm while hospitalized on IV antibiotic therapy for aortic valve endocarditis. Due to their life-threatening character and often lack of evident clinical picture, mycotic aneurysms should still remain in high suspicion for a patient with abdominal pain in the setting of endocarditis.

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