Ford, T. J. , Cranney, G. and Li, A. (2013) An ECG that changed in a febrile patient. British Medical Journal, 346, f585-f585. (doi: 10.1136/bmj.f585) (PMID:23390225)
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Abstract
A 50 year old man with a history of injecting drug misuse was admitted as an emergency with a reduced level of consciousness and left arm weakness after five days of swinging fever, rigors, and headache. His medical history included hepatitis C infection, paroxysmal atrial fibrillation, and a recent hospital admission with discitis and psoas abscess. His temperature was 38.4°C, but he was haemodynamically stable and alert. He had a soft early diastolic decrescendo murmur along the left sternal border. Splinter haemorrhages were present, along with a small digital infarct of the left third toe and mild upper motor neurone pattern weakness in the left arm. Laboratory investigations confirmed a normocytic anaemia and leucocytosis and blood cultures grew meticillin resistant Staphylococcus aureus. Computed tomography of the brain showed a hypodense area in the left frontoparietal area consistent with infarction.
| Item Type: | Articles |
|---|---|
| Additional Information: | Correction: https://doi.org/10.1136/bmj.f981 (Published 13 February 2013). |
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Ford, Thomas |
| Authors: | Ford, T. J., Cranney, G., and Li, A. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health |
| Journal Name: | British Medical Journal |
| Publisher: | BMJ Publishing Group |
| ISSN: | 0959-8138 |
| ISSN (Online): | 1756-1833 |
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