Atypical Presentation of Infective Endocarditis: Case Report and Literature Review

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Infective endocarditis (IE) is defined as a microbial infection of either valvular or nonvalvular endothelium of the heart. Previous studies have shown IE to have an incidence between 1.4 to 6.2 per 100,000 people per year and an overall mortality as high as 44%. 1-4 This article reports a unique case of bacterial endocarditis and sepsis in a non-intravenous (IV) drug-abusing patient who presented with a chief complaint of a nontraumatic finger pain and altered mental status. This patient had a rapidly deteriorating course of disease with multiple organs affected by infectious emboli. The variable clinical presentation, risk factors, neurologic symptoms, embolic sequela, and emergency department (ED) management of acute bacterial endocarditis are discussed.
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