n CME : Your SA Journal of CPD - Case report : the problem with kittens




Extracted from text ... An interesting case in a recent Lancet describes a 58-yearold man who presented to his local hospital in the USA with fever, angina and haematuria. He was noted to have a chronic systolic murmur, acute renal failure, bleeding from the nose and haemoptysis, caused by a nasal ulcer. He was treated with penicillin G and gentamicin, but 4 sets of blood cultures were negative. A transoesophageal echocardiogram showed a calcified bicuspid aortic valve with moderate stenosis, but no vegetations. Serum creatinine was raised, and a 24-hour urine collection showed microscopic haematuria, granular casts and increased protein. The patient was ..


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