Case Report Livedo Reticularis in Endocarditis

Bishop, Henry; Nelson, Stephen C.; Ravreby, William D.

doi:10.1097/00000441-198111000-00006

Cited by 8 publications

(2 citation statements)

References 23 publications

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“…Interestingly, our patient presented with asymmetrical livedo reticularis across the anterior aspect of both knees (figure 1). This cutaneous manifestation may represent peripheral emboli from the vegetation, an association that has previously been reported in the literature 6 7. Although, in rare cases, atrial myxoma is also thought to be associated with livedo reticularis 8.…”

Section: Discussionmentioning

confidence: 68%

Unusual cause of infective endocarditis in an elderly patient with a rare condition

et al. 2015

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A 77-year-old woman presented to the emergency department with a 1-week history of anorexia, fatigue, general malaise and a 3-day history of fever. Clinical examination revealed livedo reticularis across the anterior aspect of her knees and a pansystolic murmur. Laboratory evaluation found neutrophil leucocytosis; elevated C reactive protein and blood cultures grew Streptococcus acidominimus. Transthoracic echocardiography displayed vegetation on the mitral valve and a left atrial myxoma. She was treated with intravenous benzylpenicillin and erythromycin for the infective endocarditis (IE) and remains well 3 months post-treatment. S. acidominimus is considered a common veterinary pathogen rarely found in humans. To the best of our knowledge, only two prior reports of IE due to this organism exist in the literature. This case highlights how rare pathogens can cause unusual presentation and the importance of IE as a differential even in the absence of classical signs, if fever and new murmur are present.

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Section: Discussionmentioning

confidence: 68%

Unusual cause of infective endocarditis in an elderly patient with a rare condition

et al. 2015

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“…Vasculitis similarly was demonstrated in Reiter's syndrome (29), presumably as a result of immune complex disease. Livedo reticularis is also seen in a number of bacterial and viral processes as a result of immune complex disease, with resultant vasculitis and thrombosis (7,(30)(31)(32).…”

Section: Livedo Reticularis Symptomaticamentioning

confidence: 99%

Type 1 Diabetes Mellitus Associated with Livedo Reticularis: Case Report and Review of the Literature

Abrahamian

Berke

Voorhees

1991

Pediatric Dermatology

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Fever, arthralgias, skin lesions, and ischemic digits in a 59‐year‐old man

Gravallese

Waksmonski

Winters

et al. 1995

Arthritis & Rheumatism

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Presentation of caseThe patient is a 59-year-old man who was admitted to an outside hospital. Two weeks prior to this admission he developed nausea, and 1 week prior to admission he developed polyarthralgias. The polyarthralgias began with severe left ankle pain, then progressed rapidly to involve most of his appendicular joints. He was treated initially with indomethacin with no relief of symptoms, and the medicine was then switched to naproxen. The patient developed increasing nausea, with vomiting and diarrhea. His joint pain worsened until he was bedridden. Naproxen was discontinued, and he was given prednisone (10 mg/day) 2 days prior to admission. On the day before admission, he developed an erythematous, crusting lesion on the right medial malleolus.The patient's medical history was noteworthy for Graves' disease (16 years before this admission), which was treated with propylthiouracil. Two years prior to this admission, he developed cramping abdominal pain and diarrhea. Endoscopy with small bowel biopsy was performed, and the diagnosis of Crohn's disease was made. This was believed to be quiescent prior to this admission. He also had a history of cholelithiasis and nephrolithiasis.Medications on admission included prednisone 10 mg/day, as well as sulfasalazine 2.5 g d d a y and azathioprine 50 mg twicelday, both of which he had been taking for 1 year. He had no history of recent or remote travel outside

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Case Report Livedo Reticularis in Endocarditis

Cited by 8 publications

References 23 publications

Unusual cause of infective endocarditis in an elderly patient with a rare condition

Unusual cause of infective endocarditis in an elderly patient with a rare condition

Type 1 Diabetes Mellitus Associated with Livedo Reticularis: Case Report and Review of the Literature

Fever, arthralgias, skin lesions, and ischemic digits in a 59‐year‐old man

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