| Getting to the heart of rectal bleeding: subacute bacterial endocarditis presenting as anaemia and a GI bleed. | |
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MedLine Citation:
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PMID: 22674949 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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In this case report, the authors demonstrate a case of subacute bacterial endocarditis presenting with anaemia. It is the first of its kind to describe a delay in diagnosis due to an initial patient investigation for a bleed rather than a cardiac evaluation. Astute clinicians need to be aware of the causes of anaemia in patients with endocarditis and consider that in Streptococcus bovis (S bovis) infection can be related to gastrointestinal polyps or malignancy resulting in bleeding. Although patients with S bovis endocarditis should undergo full gastrointestinal investigation after endocarditis is diagnosed, it should not delay medical treatment. In this article, the authors discuss the consequences of failing to achieve timely recognition of endocarditis along with common systemic complications. The authors also outline current recommendations for surgical intervention as heart valve replacement surgery was warranted in the patient to prevent fatal outcome. |
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Authors:
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Whitney Cesari; Christy Stewart; Mukta Panda |
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Publication Detail:
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Type: Journal Article Date: 2011-12-01 |
Journal Detail:
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Title: BMJ case reports Volume: 2011 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2011 |
Date Detail:
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Created Date: 2012-06-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: IM |
Affiliation:
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Department of Medicine, University of Tennessee, Memphis, Chattanooga, Tennessee, United States. |
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Descriptor/Qualifier:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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