Patient with recurrent febrile episodes

Tuesday, April 26, 2011
60 year old male patient hospitalised due to recurrent febrile episodes each lasting 6-8 days (body temperature up to 39-40°C) during the past three months.His previous medical history recorded acute myocardial infarction 5 years earlier, aorto-coronary bypass plus aortic valve replacement with biological prosthesis two years earlier.At admission, conventional chest radiographs were unremarkable. Laboratory tests disclosed mild leukocytosis (11.000/mmc WBC with 73% neutrophils), raised C-reactive protein levels (64). Initially, haemocultures were persistently negative due to previous empiric antibiotic therapies.


Axial T1-weighted  and Axial T2-weighted MRI were requested after the routine abdominal ultrasound.Identify the lesion and what is the most likely cause for that lesion?

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11 comments

  1. Anonymous Says:
  2. splenic abscess

     
  3. Anonymous Says:
  4. sub acute infective endocarditis..

     
  5. Anonymous Says:
  6. septic emboli

     
  7. Anonymous Says:
  8. splenic infarct from septic emboli

     
  9. Anonymous Says:
  10. splenic infarct from septic emboli

     
  11. Anonymous Says:
  12. endo cardiditis

     
  13. Anonymous Says:
  14. pulmonary emboli

     
  15. Anonymous Says:
  16. splenic abscess

     
  17. Anonymous Says:
  18. abcé de la rate

     
  19. ABSCESO ESPLENICO , DEBIDO A EMBOLO SEPTICO POR ENDOCARDITIS INFECCIOSA.- SE NECESITA UN ECOCARDIOGRAMA.-

     
  20. I got a good knowledge to read your informational post and its having the useful message. So i would like to thank for creating this interesting blog.

     

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