A 37-year-old male with Marfan syndrome was admitted to the hospital with several weeks of low-grade fevers and a 1-week history of fatigue and malaise. At age 21 years, he had a type A thoracic aortic dissection for which he underwent an aortic valve replacement with a St. Jude mechanical valve, and then at the age of 36 years, he was diagnosed with an abdominal aortic aneurysm dissection requiring a bypass graft repair. Extensive evaluation including transesophageal echocardiogram was unrevealing; however, his fevers resolved with empiric antibiotics. He was diagnosed with presumed culture-negative prosthetic valve endocarditis. Four weeks prior to the current presentation, he was discharged on intravenous ceftriaxone and vancomycin with oral rifampin.
|Original language||English (US)|
|Title of host publication||The Infectious Disease Diagnosis|
|Subtitle of host publication||A Case Approach|
|Publisher||Springer International Publishing|
|Number of pages||5|
|State||Published - Jan 1 2017|
ASJC Scopus subject areas