Clinicopathological conference: case report--a case of anorexia and weak arm

Acad Emerg Med. 2007 Jan;14(1):95-9. doi: 10.1197/j.aem.2006.06.055. Epub 2006 Nov 21.

Abstract

The authors present the case of a 49-year-old female who presented to the emergency department with a chief complaint of "not eating well." She was found to have a heart murmur, a focal neurological deficit, and large mitral valve vegetation. The patient was later diagnosed with acute Pseudomonal endocarditis with septic emboli to the brain, liver, spleen, and kidneys. A discussion of the patient presentation, diagnostic evaluation, and outcome are reviewed.

Publication types

  • Case Reports
  • Clinical Conference

MeSH terms

  • Anorexia / etiology
  • Brain Infarction / diagnosis
  • Echocardiography, Transesophageal
  • Embolism / diagnosis
  • Embolism / etiology
  • Endocarditis, Bacterial / diagnosis*
  • Female
  • Humans
  • Infarction / diagnostic imaging
  • Infarction, Posterior Cerebral Artery / diagnosis
  • Kidney / blood supply
  • Liver / blood supply
  • Magnetic Resonance Angiography
  • Magnetic Resonance Imaging
  • Middle Aged
  • Mitral Valve / microbiology
  • Muscle Weakness / etiology
  • Pseudomonas Infections / diagnosis
  • Radiography
  • Spleen / blood supply