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Published 19 October 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.01.2009.1460]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual presentation of more common disease/injury

Infective endocarditis complicated by splenic rupture and fatal intra-abdominal haemorrhage

Muhammad Fayaz Khan1, Saqib Ghani2

1 Pennine Acute Hospitals, Cardiology, 54 Durham Street, Oldham OL9 7DR, UK
2 Blackpool Victoria Hospital, Cardiology, Whinpark Avenue, Blackpool FY3 8NZ, UK

Correspondence to:
Muhammad Fayaz Khan, mfkhan50{at}doctors.org.uk

SUMMARY

This case report describes a rare presentation of Streptococcus mitis endocarditis of the aortic and mitral valves, complicated by spontaneous splenic rupture due to splenic infarction, which led to massive intra-abdominal bleeding and ultimately death.


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