| Wegener granulomatosis simulating bacterial endocarditis. | |
| | |
MedLine Citation:
|
PMID: 10448786 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Cardiac involvement in Wegener granulomatosis is uncommon. We report a case of Wegener granulomatosis that presented as culture-negative endocarditis with aortic valvular vegetation. The clinical manifestations included gingival hyperplasia, gangrenous digital infarcts, mononeuritis multiplex, high fever, inflammatory arthritis, pansinusitis, splenic infarct, and aortic valvular vegetation, which underscore the difficulty of distinguishing systemic vasculitis from bacterial endocarditis. Contrary to the common notion that valvular vegetation is invariably associated with bacterial endocarditis, this case proves that such findings can occur in Wegener granulomatosis as well. Clinicians are guided toward early treatment with corticosteroids and cyclophosphamide to prevent fatal complications. |
| | |
Authors:
|
D D Anthony; A D Askari; T Wolpaw; G McComsey |
Related Documents
:
|
18697396 - Primary actinomycotic endocarditis: a case report and literature review. 10649666 - Compiling the identifying features of bacterial endocarditis. vague clues may point to ... 20863656 - Narratives in hand therapy. 14532256 - Paronychia due to prevotella bivia that resulted in amputation: fast and correct bacter... 3548976 - Coronary thrombolysis with intracoronary streptokinase. 1332376 - Primary vulvar lymphoma presenting as a clitoral tumor. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Archives of internal medicine Volume: 159 ISSN: 0003-9926 ISO Abbreviation: Arch. Intern. Med. Publication Date: 1999 Aug 9-23 |
Date Detail:
|
Created Date: 1999-08-26 Completed Date: 1999-08-26 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0372440 Medline TA: Arch Intern Med Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1807-10 Citation Subset: AIM; IM |
Affiliation:
|
Department of Medicine, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Ohio 44106, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aortic Valve Diagnosis, Differential Endocarditis, Bacterial / diagnosis, etiology Fingers / blood supply Gingival Hyperplasia / etiology Heart Valve Diseases / diagnosis*, etiology*, pathology Humans Infarction / etiology Male Middle Aged Wegener Granulomatosis / complications*, diagnosis*, pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Do patients want physicians to inquire about their spiritual or religious beliefs if they become gra...
Next Document: Proton magnetic resonance spectroscopy for the diagnosis and management of cerebral disorders.