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Heart, section through the middle Heart, front view Infective endocarditis Janeway lesion on the finger

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Infectious endocarditis

Alternative Names: Endocarditis - infectious Symptoms: Fatigue Weakness Fever Chills Night sweats (may be severe) Weight loss Muscle aches and pains Heart murmur Shortness of breath with activity Swelling of feet, legs, abdomen Blood in the urine Excessive sweating Red skin spots on the palms and soles (Janeway lesions) Paleness Nail abnormalities (splinter hemorrhages under the nails) Joint pain Abnormal urine color Red, painful intradermal nodes in the pads of the fingers and toes called Osler's nodes Signs and tests: A history of congenital heart disease raises the level of suspicion. A physical examination may show an enlarged spleen. The examiner may detect a new heart murmur, or a change in a previous heart murmur. Examination of the nails may show splinter hemorrhages. Eye examination may show retinal hemorrhages with a central area of clearing, called Roth's spots. Text Continues Below The following tests that may be performed: Repeated blood culture and sensitivity (#1 test for detection) ESR (erythrocyte sedimentation rate) CBC (complete blood count) may show low grade, microcytic (small red blood cells) anemia Echocardiogram Transesophageal echocardiogram Chest x-ray CT scan of the chest ASO (anti-streptolysin O) test

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