27 y.o male presented to opd with this painful right hand lesion

27 y.o male presented to opd with this painful right hand lesion …fever. weight loss…decreased appetite

O/E…diastolic murmur through pericardium …lab finding…high WBC 18.000per cubic millimeter


This patient ,a 27-year-old man who, a few days after going to the opd a red spot appeared on the palm of his hand. Little by little, she began to feel nauseous, have night sweats, and notice a pain in her blue side. and, after two weeks, the red spot had transformed into that bluish lump seen in the photo.

After studying the case, the doctors diagnosed him with a disease known as bacterial endocarditis. It is a serious infection caused by the Streptococcus bacteria, which causes inflammation of the heart valves. The most common form of contagion is in the dentist’s office, but sometimes it can also be caused by the simple fact of brushing your teeth.

This type of bacteria is very present in the teeth and gums, and can cause a disease known as periodontitis. The problem is that, if the gums bleed when brushing our teeth, the bacteria can reach the heart, causing infection. Once there, it forms an abscess of pus that can cause a thrombosis.

Abstract. Mycotic aneurysms are a rare cause of intracranial aneurysms that develop in the presence of infections such as infective endocarditis. They account for a small percentage of all intracranial aneurysms and carry a high-mortality rate when ruptured.