Right-sided infective endocarditis presenting with purpuric skin rash and cardiac failure in a patient without fever

Ranjan K. Shetty, G. Vivek, Kushal Naha, Sreedivya Bekkam

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We describe the case of a 70-year-old woman who presented with symptoms of cardiac failure, and was found on clinical examination to have a purpuric rash over her lower extremities. Further evaluation of cardiac failure revealed tricuspid regurgitation with two large tricuspid valve vegetations. Blood cultures yielded a growth of Streptococcus viridans. She was treated with an intravenous ceftriaxone and gentamicin and made a complete recovery with resolution of the rash.

Original languageEnglish
Article number168
JournalBMJ Case Reports
Publication statusPublished - 06-03-2013
Externally publishedYes


All Science Journal Classification (ASJC) codes

  • Medicine(all)

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