@article{HT4437,
author = {Yin-Hsien Lin and Wen-Han Chang and Weide Tsai and Ding-Kuo Chien},
title = {Infective endocarditis presenting as back pain},
journal = {Health Technology},
volume = {2},
number = {0},
year = {2018},
keywords = {},
abstract = {A 51-year-old healthy man presented to emergency department with complaints of severe low back pain for 3 days and 2-week history of low-grade fever. Because of persistent back pain with fever up to 38 ℃, we ordered contrast-enhanced abdominal computed tomography (CT) which showed a huge aortic thrombus at the level of aortic bifurcation. Transthoracic two-dimensional echocardiography showed a vegetation at anteromedial leaflet of mitral valve, and infective endocarditis (IE) was diagnosed. After long-term broad-spectrum antibiotics and arterial embolectomy with mitral valve replacement, he discharged uneventually. Early diagnosis and treatment of IE at emergency department may be the key to the better result.},
issn = {2616-2717}, url = {https://ht.amegroups.org/article/view/4437}
}