Infective endocarditis with embolic renal infarct presenting as acute abdomen
Infective endocarditis (IE) is a disease that is rare but potentially fatal and challenging to diagnose. A 28-year-old man with sickle cell trait and a history of intravenous drug use presented with abdominal pain and hematuria mimicking a surgical abdomen. The preliminary diagnosis was cholecystiti...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Emergency Medicine
2021-06-01
|
| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://ceemjournal.org/upload/pdf/ceem-20-037.pdf |
| _version_ | 1797897148179677184 |
|---|---|
| author | Mustafa Mahmood Eid |
| author_facet | Mustafa Mahmood Eid |
| author_sort | Mustafa Mahmood Eid |
| collection | DOAJ |
| description | Infective endocarditis (IE) is a disease that is rare but potentially fatal and challenging to diagnose. A 28-year-old man with sickle cell trait and a history of intravenous drug use presented with abdominal pain and hematuria mimicking a surgical abdomen. The preliminary diagnosis was cholecystitis or perforated viscus. The chest radiograph was indicative of pulmonary septic emboli. Computed tomography was initially thought to show pyelonephritis, but further review of images revealed renal infarct. The patient was found to have endocarditis which resulted in an embolic renal infarct. The patient recovered remarkably well after 60 days of intravenous antibiotics. This case demonstrates that a surgical abdomen may also be a sign of endocarditis, and multiple imaging studies may be required to confirm the diagnosis. In patients such as intravenous drug users with an increased risk of IE, unexplained flank pain should raise a suspicion of acute renal infarction. |
| first_indexed | 2024-04-10T07:52:59Z |
| format | Article |
| id | doaj.art-541c0064974b495486d340f66a12b04f |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:52:59Z |
| publishDate | 2021-06-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-541c0064974b495486d340f66a12b04f2023-02-23T07:04:14ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252021-06-018214514810.15441/ceem.20.037340Infective endocarditis with embolic renal infarct presenting as acute abdomenMustafa Mahmood EidInfective endocarditis (IE) is a disease that is rare but potentially fatal and challenging to diagnose. A 28-year-old man with sickle cell trait and a history of intravenous drug use presented with abdominal pain and hematuria mimicking a surgical abdomen. The preliminary diagnosis was cholecystitis or perforated viscus. The chest radiograph was indicative of pulmonary septic emboli. Computed tomography was initially thought to show pyelonephritis, but further review of images revealed renal infarct. The patient was found to have endocarditis which resulted in an embolic renal infarct. The patient recovered remarkably well after 60 days of intravenous antibiotics. This case demonstrates that a surgical abdomen may also be a sign of endocarditis, and multiple imaging studies may be required to confirm the diagnosis. In patients such as intravenous drug users with an increased risk of IE, unexplained flank pain should raise a suspicion of acute renal infarction.http://ceemjournal.org/upload/pdf/ceem-20-037.pdfabdomen, acuteendocarditisinfarctionembolism |
| spellingShingle | Mustafa Mahmood Eid Infective endocarditis with embolic renal infarct presenting as acute abdomen Clinical and Experimental Emergency Medicine abdomen, acute endocarditis infarction embolism |
| title | Infective endocarditis with embolic renal infarct presenting as acute abdomen |
| title_full | Infective endocarditis with embolic renal infarct presenting as acute abdomen |
| title_fullStr | Infective endocarditis with embolic renal infarct presenting as acute abdomen |
| title_full_unstemmed | Infective endocarditis with embolic renal infarct presenting as acute abdomen |
| title_short | Infective endocarditis with embolic renal infarct presenting as acute abdomen |
| title_sort | infective endocarditis with embolic renal infarct presenting as acute abdomen |
| topic | abdomen, acute endocarditis infarction embolism |
| url | http://ceemjournal.org/upload/pdf/ceem-20-037.pdf |
| work_keys_str_mv | AT mustafamahmoodeid infectiveendocarditiswithembolicrenalinfarctpresentingasacuteabdomen |