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Journal of Case Reports
Janeway Lesion and Splinter Haemorrhages, Old signs Revisited: Cutaneous Stigmata of Cardiac Disorder
Santosh Kumar Sinha, Mukesh Jitendra Jha, Puneet Aggarwal, Vikas Mishra
Department of Cardiology, LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, India.
Corresponding Author:
Dr. Santosh Kumar Sinha
Email: fionasan@rediffmail.com
Received: 29-APR-2020 Accepted: 21-AUG-2020 Published Online: 05-NOV-2020
DOI: http://dx.doi.org/10.17659/01.2020.0060
Background: Cutaneous stigmata (Janeway lesion and splinter haemorrhages) are rarely seen in acute infective endocarditis (IE) and serve as an important clue to its early diagnosis and prompt treatment. Case Report: A 20-year-old male presented with intermittent, high grade fever of 2 weeks duration, palpitation and worsening dyspnea. On examination, Janeway lesions and splinter haemorrhages were noted. Echocardiogram revealed large, mobile echogenic mass attached to ventricular surface of right coronary cusps which was perforating the valve causing acute severe aortic leak. He underwent successful aortic valve replacement. Conclusion: These cutaneous lesions may be rarely seen in acute IE and serve as an important clue to IE as prognosis is grave because of high morbidity and mortality and therefore, early diagnosis and prompt treatment may be life saving.
Keywords : Aortic Valve Insufficiency, Bacterial Endocarditis, Dyspnea, Echocardiography, Heart Valve Prosthesis.
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