An intravenous drug user has fever, a new murmur, splinter haemorrhages and Roth spots. What is the most likely diagnosis?
Answer and explanation
Correct answer: C. Infective endocarditis
- Step 1: The picture of fever with a new murmur and splinter haemorrhages fits Infective endocarditis.
Answer
Infective endocarditis.
Why not the others: 'Rheumatic fever': it follows a streptococcal sore throat with migratory arthritis and carditis. 'Myxoma of the left atrium': it gives constitutional symptoms and embolism without positive blood cultures. 'Viral myocarditis': it follows a viral illness with chest pain and raised troponin.
Practise more Clinical cases.
Free questions with an explanation for every one, and full timed Kuwait Medical Licensing Examination (KMLE / KIMS) mock tests.
More Clinical cases questions
- A 60-year-old smoker has crushing central chest pain for 40 minutes, sweating, and ST elevation in leads II, III and aVF. What is the most l…
- Which is the most appropriate initial treatment for Inferior ST-elevation myocardial infarction?
- Which investigation best confirms Pulmonary embolism?
- Which complication or association is classically linked with Pulmonary embolism?
- After a road accident a man is gasping, has absent breath sounds on the right, a deviated trachea and low blood pressure. What is the most l…
- Which is the most appropriate initial treatment for Tension pneumothorax?