Connect
MJA
MJA

An unusual case of non‐infective endocarditis in undiagnosed antiphospholipid syndrome

Jessica V Yao, Subodh B Joshi, John G Morgan and Melissa GY Lee
Med J Aust 2021; 215 (7): . || doi: 10.5694/mja2.51246
Published online: 4 October 2021

A 57‐year‐old man presented with left facial droop and dysarthria due to a multiterritory ischaemic stroke affecting the right posterior and middle cerebral arteries. His previous history included a segmental pulmonary embolus in the setting of pneumonia. He was not taking any regular medications and denied recreational drug use. There was no relevant family history. He was haemodynamically stable, afebrile and euvolaemic. White cell count was normal at 7.8 × 109/L (reference interval [RI], 4–12 × 109/L). C‐reactive protein was mildly elevated at 9 mg/L (RI, < 5 mg/L). On day 1, transthoracic echocardiogram revealed a vegetation on the anterior mitral valve leaflet tip with moderate to severe mitral regurgitation, normal left atrial size and biventricular size and systolic function. Three sets of blood cultures were taken before commencing intravenous ceftriaxone and flucloxacillin. He was transferred to our hospital for surgical consideration.

  • Jessica V Yao1
  • Subodh B Joshi1,2
  • John G Morgan1
  • Melissa GY Lee1,2

  • 1 Royal Melbourne Hospital, Melbourne, VIC
  • 2 University of Melbourne, Melbourne, VIC


Correspondence: melissa.lee1@unimelb.edu.au

Competing interests:

No relevant disclosures.

Author

remove_circle_outline Delete Author
add_circle_outline Add Author

Comment
Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.