Open AccessAn unusual cause for fever of unknown origin in a patient with a prosthetic valve
Author(s) -
Geoffrey Lee,
Balavinoth Ramakrishnan,
Mukhyaprana Prabu,
R. Balasubramanian
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.11.2008.1216
Subject(s) - medicine , infective endocarditis , fever of unknown origin , etiology , endocarditis , pneumonia , endocardium , mitral valve , surgery
A case of Wegener granulomatosis as a cause for fever of unknown origin (FUO) and secondary involvement of endocardium in association with mitral valve prosthesis is presented. Although the patient was referred as a case of unresolving pneumonia, her unresponsiveness to broad spectrum antibiotics including infective endocarditis treatment prompted investigation for a non-infectious aetiology for her FUO, leading to a diagnosis of Wegener granulomatosis.