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Postgrad Med J doi:10.1136/postgradmedj-2012-130760
  • Images in medicine

Infective endocarditis causing ulnar mycotic aneurysm and compartment syndrome

  1. Sriram Rajagopalan1
  1. 1Department of Vascular Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
  2. 2Department of Radiology, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to Dr Sriram Rajagopalan, Department of Vascular Surgery, Aberdeen Royal Infirmary, ward 36, ARI Forestrehill, Aberdeen AB25 2ZN, UK; srajagopalan{at}nhs.net
  1. 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 …


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