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- Title
Infective Endocarditis Presented as Acute Pyelonephritis: A Case Report.
- Authors
Hung, S.-C.; Liao, C.-H.; Lin, I.-H.; Hung, H.-C.; Lee, P. O.-C.
- Abstract
Infective endocarditis is less likely to sparkle out preferentially in our minds when evaluating and making differential diagnosis of patients with fever daily in emergency departments. We describe a case of infective endocarditis. He was initially diagnosed with pyelonephritis of the right kidney at a hospital because of the noted right flank knocking pain. His computed tomography showed two wedge-shaped low-density lesions in the spleen and the right kidney separately. It dropped a hint to the emergency department physician of thinking of the feature of infarct. The previously neglected cardiac murmurs were then an important clue. We then performed transthoracic emergent echocardiography and confirmed the diagnosis of infective endocarditis.
- Subjects
INFECTIVE endocarditis; COMPUTED tomography; PYELONEPHRITIS; HEART murmurs; DIAGNOSIS; EMERGENCY physicians
- Publication
West Indian Medical Journal, 2021, Vol 69, Issue 6, p449
- ISSN
0043-3144
- Publication type
Article
- DOI
10.7727/wimj.2015.438