Osler's nodes, Janeway lesions and splinter haemorrhages

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Osler's nodes, Janeway lesions and splinter haemorrhages.

To cite: Hirai T, Koster M. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-009759 DESCRIPTION A 22-year-old man with a history of intravenous heroin misuse, presented with 1 week of fatigue and fever. Blood cultures were positive for methicillin-sensitive Staphylococcus aureus. Physical examination showed multiple painful 1– 2 mm macular rashes on the palm ...

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Janeway lesions: an old sign revisited.

A 20-year-old man presented with intermittent, high grade fever of 2 weeks’ duration and progressively worsening shortness of breath for the same period. On examination, he had tachycardia and pulsus bisferiens. In addition, he had multiple nontender, macular spots of varying sizes over hands and feet for the past 4 to 5 days (Figure 1A and 1B). His echocardiogram revealed severe aortic regurgi...

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Charles Janeway Jr.

Charlie Janeway, immunologist, a leading authority on the T cell and creator of our present understanding of the link between innate and acquired immunity, died of cancer on April 12 at his home in New Haven at the age of 60. Charlie obtained his undergraduate and medical degree at Harvard, following in the long family medical tradition. Like other talented young medical scientists at the time ...

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Necrotising pneumonia and empyema caused by Clostridium bifermentnas.

A 41-year-old woman was admitted to the hospital with a one-week history of increasing fatigue, weakness, and breathlessness. She had a persistent cough, haemoptysis, and a sharp pleuritic chest pain on the right the evening before admission. Her temperature was 36-3'C (oral), the respiratory rate was 30/min, the pulse was 130/min with atrial fibrillation, and the blood pressure was 110/66 mmHg...

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Janeway lesions: a valuable clinical sign in patients with infective endocarditis

E mbolic events are known clinical stigmata of infective endocarditis occurring in 20 to 50% of cases and are often associated with protracted bacteremia. Janeway lesions are an example of this embolic phenomenon and can be a silent clinical sign (1). In cases where patients are incapacitated to a point where history acquisition becomes challenging, identification of Janeway lesions can be an i...

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ژورنال

عنوان ژورنال: Case Reports

سال: 2013

ISSN: 1757-790X

DOI: 10.1136/bcr-2013-009759