The Medicine Forum

Article Title

Presence of concomitant asymptomatic and symptomatic emboli resulting from acute staphylococcus aureus endocarditis

Authors

Jason T. Bradley, MD, Thomas Jefferson University
Nicole M. Orr, MD, Thomas Jefferson University
Siva Ramachandran, MD, Thomas Jefferson University

Abstract

A 25-year-old male intravenous heroin user with Hepatitis C presented with a syncopal episode and left sided weakness. Examination revealed sub-conjunctival hemorrhages and diffuse bilateral petechiae on his lower extremities. He had multiple irregular, erythematous, painless macules on his hands and feet, and linear, red, subungal lesions bilaterally. These findings were consistent with Janeway lesions and splinter hemorrhages, respectively. His vital signs were stable on admission. Cardiac auscultation revealed a grade 2/6 holosystolic apical murmur radiating to the axilla. A brain MRI revealed multiple areas of hyperdensity, particularly in the right parietal lobe (Figure 1). Blood tests revealed leukocytosis and six of six blood cultures yielded methicillin sensitive Staphylococcus Aureus. The patient was treated with intravenous nafcillin and gentamicin.

Recommended Citation

Bradley, MD, Jason T.; Orr, MD, Nicole M.; and Ramachandran, MD, Siva (2005) "Presence of concomitant asymptomatic and symptomatic emboli resulting from acute staphylococcus aureus endocarditis," The Medicine Forum: Vol. 7, Article 5.
DOI: https://doi.org/10.29046/TMF.007.1.006
Available at: https://jdc.jefferson.edu/tmf/vol7/iss1/5