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
Abstract
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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