infective endocarditis; leukocytoclastic vasculitis; Pseudomonas aeruginosa
Infectious Disease | Internal Medicine
Leukocytoclastic vasculitis is the inflammation of small blood vessels due to leukocyte migration that comprises a wide range of differentials. It can be caused by autoimmune disorders, infections, neoplasms, or certain medications and warrants prompt recognition and therapy for optimal patient outcomes.
Here we present a case of a 37-year-old male who presented with a painful, petechial rash on his torso and extremities. Skin biopsy revealed leukocytoclastic vasculitis, thereby prompting a comprehensive investigation into the underlying etiology leading to the diagnosis of Pseudomonas aeruginosa infective endocarditis.
Pseudomonas aeruginosa is a rare cause of infective endocarditis with a high mortality and morbidity rate. This case highlights the importance of taking a thorough history and physical along with a complete workup of vasculitis as the underlying cause can be life-threatening.
Peterson, Ethan J.; Jackson, Jordan; Zaidi, Syed M.; and Perez, Jorge
"An Unusual Presentation of Infective Endocarditis,"
HCA Healthcare Journal of Medicine: Vol. 4:
4, Article 6.
Available at: https://scholarlycommons.hcahealthcare.com/hcahealthcarejournal/vol4/iss4/6