Fungal endocarditis presenting with right lumbar pain and femoral artery ischemia – An unusual case report

Shahan Waheed, Muhammad Akbar Baig, Muhammad Waqas Khan, Fareed Ahmed Sheikh, Nadeem Ullah Khan

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Fungal endocarditis is a rare entity which has a poor outcome. Our case reports an atypical presentation of similar pathology now presenting with femoral artery ischemia in an immune competent individual. A 62-year Asian male presented with sudden onset of right sided lumbar pain. Initial clinical exam was consistent with right sided renal colic. Intravenous analgesia did not relieve the pain. Repeat clinical examination revealed absent right femoral artery pulsation. The patient underwent a Computerized tomography angiography of right lower extremity. Echocardiogram revealed valvular vegetations that were later revealed to be because of Aspergillus Terreus. This case highlights the atypical presentation of a rare fungal endocarditis in an immune competent individual presenting with right sided lumbar pain. This case is of particular interest for emergency physicians who are at the forefront and may require to deal with such presentations.

Original languageEnglish
Pages (from-to)173-175
Number of pages3
JournalTurkish Journal of Emergency Medicine
Volume16
Issue number4
DOIs
Publication statusPublished - 1 Dec 2016

Keywords

  • Emergency department
  • Femoral artery
  • Fungal endocarditis
  • Thromboembolism

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