Is It Antiphospholipid Syndrome?
Joint Authors
Sarzi-Puttini, Piercarlo
Antivalle, Marco
Cogliati, Chiara
Badini, Matteo
Battellino, Michele
Ditto, Maria Chiara
Source
International Journal of Rheumatology
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-01-13
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The diagnosis of bacterial endocarditis remains a challenge, as nearly half of cases develop in the absence of preexistent heart disease and known risk factors.
Not infrequently, a blunted clinical course at onset can lead to erroneous diagnoses.
We present the case of a 47-year-old previously healthy man in which a presumptive diagnosis of antiphospholipid syndrome was made based on the absence of echocardiographically detected heart involvement, a negative blood culture, normal C-reactive protein (CRP) levels, a positive lupus anticoagulant (LAC) test, and evidence of splenic infarcts.
The patient eventually developed massive aortic endocarditic involvement, with blood cultures positive for Streptococcus bovis, and was referred for valvular replacement.
This case not only reminds us of the diagnostic challenges of bacterial endocarditis, but also underlines the need for a critical application of antiphospholipid syndrome diagnostic criteria.
American Psychological Association (APA)
Ditto, Maria Chiara& Antivalle, Marco& Badini, Matteo& Battellino, Michele& Cogliati, Chiara& Sarzi-Puttini, Piercarlo. 2011. Is It Antiphospholipid Syndrome?. International Journal of Rheumatology،Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-509233
Modern Language Association (MLA)
Ditto, Maria Chiara…[et al.]. Is It Antiphospholipid Syndrome?. International Journal of Rheumatology No. 2010 (2010), pp.1-4.
https://search.emarefa.net/detail/BIM-509233
American Medical Association (AMA)
Ditto, Maria Chiara& Antivalle, Marco& Badini, Matteo& Battellino, Michele& Cogliati, Chiara& Sarzi-Puttini, Piercarlo. Is It Antiphospholipid Syndrome?. International Journal of Rheumatology. 2011. Vol. 2010, no. 2010, pp.1-4.
https://search.emarefa.net/detail/BIM-509233
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-509233