Establishing the Diagnosis of Libman–Sacks Endocarditis in Systemic Lupus Erythematosus
Identifieur interne : 001A05 ( Main/Exploration ); précédent : 001A04; suivant : 001A06Establishing the Diagnosis of Libman–Sacks Endocarditis in Systemic Lupus Erythematosus
Auteurs : Geraldine E. Ménard [États-Unis]Source :
- Journal of General Internal Medicine [ 0884-8734 ] ; 2008-06-01.
English descriptors
Abstract
Abstract: CASE: A 43-year-old female with systemic lupus erythematosus (SLE) was admitted with fever and shortness of breath 1 month after aortic valve replacement. A diagnostic workup including chemistries, complete blood count, blood cultures, chest x-ray, and 2-D echocardiogram was performed to determine the etiology of her symptoms and differentiate between acute bacterial endocarditis and Libman–Sacks endocarditis. DISCUSSION: By utilizing Duke’s criteria, antiphospholipid antibodies, and serial echocardiography, we were able to make a diagnosis of Libman–Sacks endocarditis. The patient was successfully treated for Libman–Sacks endocarditis and recovered uneventfully. CONCLUSION: This case highlights the challenges of making the correct diagnosis when 2 disease processes present with similar findings.
Url:
DOI: 10.1007/s11606-008-0627-8
Affiliations:
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