Getting to the heart of rectal bleeding: subacute bacterial endocarditis presenting as anaemia and a GI bleed
| Autor: | Whitney A. Cesari, Mukta Panda, Christy Stewart |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Delayed Diagnosis Anemia Rectum Malignancy Article Streptococcal Infections medicine Endocarditis Humans Intensive care medicine Fatigue biology business.industry General Medicine Endocarditis Bacterial Bleed Middle Aged medicine.disease Streptococcus bovis biology.organism_classification Anti-Bacterial Agents medicine.anatomical_structure Dyspnea Cardiothoracic surgery Subacute bacterial endocarditis Mitral Valve business Gastrointestinal Hemorrhage |
| Zdroj: | BMJ case reports. 2011 |
| ISSN: | 1757-790X |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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