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

Authors Vasquez-Rios G, Gamero MT, De la Cruz J, Hernandez GA, Hernandez E, Dueñas R

Received 23 May 2016

Accepted for publication 29 September 2016

Published 9 January 2017 Volume 2017:10 Pages 11—14

DOI https://doi.org/10.2147/IJGM.S113385

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


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

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