Journal of Cardio-Thoracic Medicine (Aug 2024)

Osler's nodules and Janeway lesions, their clinical diagnostic utility oriented towards infective endocarditis in users of continuous venipuncture for aesthetic procedures, platelet-rich plasma (PRP) and their stigma related to parenteral drugs (IPDU) Case report

  • Evelyn Monserrate Loor García,
  • Karla Lissette Loor García,
  • Arnold Enrique Alvarez Joli,
  • Jorge E. Rodríguez Delgado

DOI
https://doi.org/10.22038/jctm.2024.77704.1449
Journal volume & issue
Vol. 12, no. 1

Abstract

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Infective endocarditis (IE) in users of continuous venipuncture for aesthetic procedures such as treatment with Platelet Rich Plasma (PRP) and parenteral drugs (IPDU) is a rare but potentially serious complication. The clinical, microbiological, and histological data of an episode of infective endocarditis (IE) are described where Osler's Nodules and Janeway Lesions played a crucial role in the diagnosis of (IE). 43-year-old male, with no history of parenteral drug use (IPDU), but with a significant history of a facial aesthetic procedure such as peeling with platelet-rich plasma on repeated occasions. We present and discuss the diagnostic challenges and stigma associated with DUVP in this clinical context.

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