Abstract
Infective endocarditis is a rare disease and is associated with a high mortality rate. The following case describes a 56-year-old gentleman who presented to our hospital with a pulseless left leg concerning for acute limb ischemia, which was managed with emergent revascularization. His subsequent workup revealed IE due to a rare organism known as Streptococcus dysgalactiae. Through this case, we want to showcase this rare cause of IE and also highlight systemic embolization as its possible initial presentation.
Highlights
Infective endocarditis (IE) is a rare and life-threatening disease
We want to showcase this rare cause of IE and highlight systemic embolization as its possible initial presentation
We present a case of acute IE with the initial presentation of systemic embolization from a rare cause of IE, Streptococcus dysgalactiae
Summary
Infective endocarditis (IE) is a rare and life-threatening disease. There has been an increase in the incidence of IE in the previous decade, with the incidence being 15 per 100,000 population in 2011 in the United States [1]. We present a case of acute IE with the initial presentation of systemic embolization from a rare cause of IE, Streptococcus dysgalactiae. CT angiogram of the left limb (Figures 1, 2) showed left common iliac, external iliac, and proximal internal iliac artery occlusions. He underwent emergent revascularization with left iliac thrombectomy and was subsequently started on intravenous antibiotics, gentamicin for 10 days and ceftriaxone for six weeks. How to cite this article Riaz S, Sampat P J, Khan A, et al (June 06, 2020) Systemic Embolization as the Initial Presentation of a Rare Cause of Infective Endocarditis. He was discharged to the rehabilitation center, one month after his initial hospitalization
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