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KMID : 0364020160490050408
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Korean Journal of Thoracic and Cardiovascular Surgery
2016 Volume.49 No. 5 p.408 ~ p.412
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Classic Peripheral Signs of Subacute Bacterial Endocarditis
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Han Sung-Joon
Rhee Youn-Ju
Kang Shin-Kwang
Yu Jae-Hyeon
Na Myung-Hoon
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Abstract
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A 50-year-old female patient with visual disturbances was referred for further evaluation of a heart murmur. Fundoscopy revealed a Roth spot in both eyes. A physical examination showed peripheral signs of infective endocarditis, including Osler nodes, Janeway lesions, and splinter hemorrhages. Our preoperative diagnosis was subacute bacterial endocarditis with severe aortic regurgitation. The patient underwent aortic valve replacement and was treated with intravenous antibiotics for 6 weeks postoperatively. The patient made a remarkable recovery and was discharged without complications. We report this case of subacute endocarditis with all 4 classic peripheral signs in a patient who presented with visual disturbance.
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KEYWORD
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Endocarditis, Subacute bacterial
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