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Table 1 Select hospital days with sequence of clinical events and antibiotic course

From: An unusual presentation of a rare disease: acute upper limb ischemia as the presenting symptom of Whipple’s Endocarditis, a case report

Day 0

WBC 18.2, Tmax 38.7 C admitted for acute limb ischemia with heparin drip started and taken to OR for thrombectomy 4 blood cultures negative antibiotics initiated: vancomycin and piperacillin-tazobactam

Day 1

Bovine prosthetic aortic valve placed; aortic valvular tissue sent for aerobic, anaerobic, and fungal culture 2 blood cultures negative antibiotics transitioned to vancomycin and ceftriaxone

Day 2

WBC 5.2, Tmax 36.7 therapeutic anticoagulation discontinued 2 blood cultures negative; antibiotics continued

Day 3

WBC 13.6 Tmax 36.8 2 blood cultures negative; antibiotics continued consultation to OMFS for dental extraction as possible source

Day 6

WBC 14.2 Tmax 36.7 Full dental extraction of 28 teeth (1,2,3,4,5,6,7,9,10,11,12,13,14,17, 19,20,21,22,23,24,25,26,27,28,29,30,31,32) antibiotics continued

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BMC Infectious Diseases

ISSN: 1471-2334

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