RT Book, Section
A1 Usatine, Richard P.
A1 Smith, Mindy A.
A1 Chumley, Heidi S.
A1 Mayeaux, E.J.
SR Print(0)
ID 57673153
T1 Chapter 50. Bacterial Endocarditis
T2 The Color Atlas of Family Medicine, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-176964-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57673153
RD 2024/04/19
AB A  25-year-old  man  presented  to  the  office  because  he  had  been  feeling  tired  and  feverish  for  several  weeks.  He  admitted  to  injecting  heroin  regularly  in  the  last  2  months.  On  examination,  he  was  febrile  and  had  a  heart  murmur  of  which  he  was  previously  unaware.  His  fingernails  showed  splinter  hemorrhages  (Figure  50-1).  His  funduscopic  examination  revealed  Roth  spots  (Figures  50-2  and  50-3).  An  echocardiogram  demonstrated  vegetation  on  the  tricuspid  valve.  He  was  hospitalized  and  treated  empirically  for  bacterial  endocarditis.  After  his  blood  cultures  returned  Staphylococcus  aureus,  his  regimen  was  adjusted  based  on  sensitivities  and  continued  for  6  weeks.