A 46-year-old woman with a mechanical aortic valve presents with fever and sudden left flank pain. Urinalysis shows microscopic haematuria. CT

Question

A 46-year-old woman with a mechanical aortic valve presents with fever and sudden left flank pain. Urinalysis shows microscopic haematuria. CT abdomen shows a wedge-shaped splenic infarct. Blood cultures are pending and she has a new regurgitant murmur. What is the most likely diagnosis?

Accepted Answer

Prosthetic valve infective endocarditis with systemic embolisation

Answer

Polymyalgia rheumatica

Answer

Uncomplicated viral illness

Answer

Renal colic from ureteric stone

Answer

Stable anticoagulation-related bruising

Prosthetic valve infective endocarditis — SCE Acute Medicine MCQ

A 46-year-old woman with a mechanical aortic valve presents with fever and sudden left flank pain. Urinalysis shows microscopic haematuria. CT abdomen shows a wedge-shaped splenic infarct. Blood cultures are pending and she has a new regurgitant murmur. What is the most likely diagnosis?