Insidious onset of intermittent claudication as the primary manifestation of infective endocarditis

Abstract

George Vasquez-Rios,1,2 Maria T Gamero,2 Jesus De la Cruz,3 Gabriel A Hernandez,4 Eduardo Hernandez,5 Roy Dueñas6 1Alexander Von Humboldt Tropical Medicine Institute, Cayetano Heredia University, Lima, Peru; 2Alberto Hurtado School of Medicine, Cayetano Heredia University, Lima, Peru; 3Internal Medicine Department, Cayetano Heredia Hospital, Lima, Peru; 4Department of Cardiology, Miller School of Medicine, University of Miami, Miami, FL, 5Department of Adult Cardiology, St. Luke’s Episcopal Hospital, Houston, TX, USA; 6Cardiology Department, Cayetano Heredia Hospital, Lima, Peru Abstract: Musculoskeletal manifestations of infective endocarditis are well-described in the literature. However, insidious onset of localized calf pain is an uncommon presentation of embolization and may represent a diagnostic challenge owing to the nonspecific nature of the symptoms. This study reviewed the literature and reports a case of infective endocarditis in a patient who presented with bilateral calf pain as the primary complaint and reason for seeking medical attention. Keywords: musculoskeletal pain, embolization, ischemia, endocarditis

Keywords

• musculoskeletal pain
• embolization
• ischemia
• endocarditi