Tayebeh Soleymanian
1* 
, Hoda Kavosi
2 1 Nephrology, Nephrology and Urology Department, Tehran University of Medical Sciences, Tehran, Iran
2 Rheumatology Research Center, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
Abstract
Infective endocarditis is a diagnostic challenge since it could manifest as a systemic disease
mimicking rheumatologic disorders by immunological mechanisms. We introduced a case of
infective endocarditis which was a 62-year-old man who presented with weakness, weight loss,
myalgia, arthritis, petechiae, hematuria and proteinuria and was admitted by a rheumatologist for
evaluation of possible vasculitis.
Implication for health policy/practice/research/medical education:
Infective endocarditis is sometimes a challenging and misleading diagnosis, so that we should be aware of uncommon presentations of this
disease. Here, we described an unusual case of infective endocarditis with vasculitis like presentations since no fever or defined risk factors
were existed. Therefore, infective endocarditis should be considered in differential diagnosis of vasculitis like syndromes.
Please cite this paper as: Soleymanian T, Kavosi H. Subacute bacterial endocarditis with vasculitis-like presentation; report of a case and
literature review. J Nephropathol. 2020;9(1):e10. DOI: 10.15171/jnp.2020.10.