The patient began to feel better 2 days into an intravenous course of antibiotics, but this was deceptive. A 25-year-old woman with a history of polysubstance abuse and recent tick exposure presented after 10 days of fever, myalgia, and shortness of breath without cough. She used intranasal cocaine 1 day before admission, and her last use of an intravenous substance occurred 6 months earlier. She had no recent travel history.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to The American Journal of Medicine
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Right-side endocarditis in injection drug users: review of proposed mechanisms of pathogenesis.Clin Infect Dis. 2000; 30: 374-379
- Bacterial mural endocarditis. A case series.Heart Lung Circ. 2014; 23: e172-e179
- Rarity of invasiveness in right-sided infective endocarditis.J Thorac Cardiovasc Surg. 2018; 155: 54-61
- 2015 ESC Guidelines for the management of infective endocarditis: the Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).Eur Heart J. 2015; 36: 3075-3128
Published online: April 13, 2018Thomas J. Marrie, MD, Section Editor
Conflict of Interest: None.
Authorship: Both authors had access to the data and played a role in writing this manuscript.
Published by Elsevier Inc.