Case reports
Neuralgic amyotrophy as a presenting feature of infective
endocarditis
P Englisha, D Maciverb
a Diabetes,
Endocrinology and General Medicine, Arrowe Park Hospital, Upton,
Wirral, UK, b Department of
Cardiology, Taunton and Somerset Hospital, Taunton
Correspondence to: Dr P English, Diabetes and Endocrinology Research Group, Clinical Sciences Centre, University Hospital Aintree, Lower Lane, Liverpool L69 7AL, UK (penglish{at}liv.ac.uk)
Submitted 12 January
2000;
Accepted 6 March 2000
A 35 year old man presented to his general practitioner with
severe right shoulder pain and subsequent weakness and wasting of the
muscles in the affected shoulder girdle three weeks after a dental
filling. His symptoms persisted despite standard treatment. He
developed malaise, night sweats, weight loss, a petechial rash and a
microcytic anaemia. On admission to hospital three months after the
start of his symptoms he had also developed splenomegaly and the murmur
of aortic regurgitation. Investigations confirmed the diagnoses of
infective endocarditis and neuralgic amyotrophy. In this case neuralgic
amyotrophy appears to have been the presenting feature of infective
endocarditis. This association has not previously been described.
Keywords: endocarditis; neuralgic amyotrophy; Parsonage-Turner syndrome
© 2000 by The Fellowship of Postgraduate Medicine
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