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Fungal endocarditis presenting with right lumbar pain and femoral artery ischemia – An unusual case report
Turkish Journal of Emergency Medicine
  • Shahan Waheed, Aga Khan University
  • Muhammad Akbar Baig, Aga Khan University
  • Muhammad Waqas Khan, Aga Khan University
  • Fareed Ahmed Sheikh, Aga Khan University
  • Nadeem Ullah Khan, Aga khan University
Publication Date
12-1-2016
Document Type
Report
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.
Citation Information
Shahan Waheed, Muhammad Akbar Baig, Muhammad Waqas Khan, Fareed Ahmed Sheikh, et al.. "Fungal endocarditis presenting with right lumbar pain and femoral artery ischemia – An unusual case report" Turkish Journal of Emergency Medicine Vol. 16 Iss. 4 (2016) p. 173 - 175
Available at: http://works.bepress.com/nadeemullah_khan/7/