Infective endocarditis causing ulnar mycotic aneurysm and compartment syndrome
- 1Department of Vascular Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
- 2Department of Radiology, Aberdeen Royal Infirmary, Aberdeen, UK
- Correspondence to Dr Sriram Rajagopalan, Department of Vascular Surgery, Aberdeen Royal Infirmary, ward 36, ARI Forestrehill, Aberdeen AB25 2ZN, UK;
Contributors CM and SR: wrote the manuscript. GL: radiology reporting and advice. PB: overall guidance.
A 26-year-old man, who was previously fit and well was referred to the vascular surgical team with a painful right forearm 1 week after an aortic valve replacement for infective endocarditis (IE). He was an in-patient recovering from his cardiac surgery. He was on appropriate antibiotics for the IE. He had no systemic signs but had marked leucocytosis. Physical examination revealed a warm swollen painful right forearm with a more discrete pulsatile painful swelling in the mid-forearm measuring about 3×3 …