Vasculitic rash: do not jump to conclusions

Clin Med (Lond). 2012 Apr;12(2):179-80. doi: 10.7861/clinmedicine.12-2-179.

Abstract

A 57-year-old man presented with a vasculitic leg rash, weight loss and evidence of blood and protein in the urine. He was initially thought to have Henoch-Schönlein purpura but was eventually diagnosed with bacterial endocarditis.

MeSH terms

  • Amoxicillin / administration & dosage
  • Anemia / etiology
  • Anti-Bacterial Agents / administration & dosage
  • Aortic Valve* / microbiology
  • Aortic Valve* / physiopathology
  • Aortic Valve* / surgery
  • Diagnosis, Differential
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial* / complications
  • Endocarditis, Bacterial* / diagnosis
  • Endocarditis, Bacterial* / metabolism
  • Endocarditis, Bacterial* / microbiology
  • Endocarditis, Bacterial* / physiopathology
  • Endocarditis, Bacterial* / therapy
  • Enterococcus faecalis / isolation & purification
  • Gentamicins / administration & dosage
  • Heart Valve Prosthesis*
  • Humans
  • IgA Vasculitis / diagnosis*
  • Male
  • Middle Aged
  • Proteinuria / etiology
  • Treatment Outcome
  • Vasculitis, Leukocytoclastic, Cutaneous / etiology*

Substances

  • Anti-Bacterial Agents
  • Gentamicins
  • Amoxicillin

Supplementary concepts

  • Erythema elevatum diutinum