Malaise, fever, and nausea in a man with marfan syndrome

Dima Dandachi, Vagish S. Hemmige

Research output: Chapter in Book/Report/Conference proceedingChapter


A 37-year-old male with Marfan syndrome was admitted to the hospital with several weeks of low-grade fevers and a 1-week history of fatigue and malaise. At age 21 years, he had a type A thoracic aortic dissection for which he underwent an aortic valve replacement with a St. Jude mechanical valve, and then at the age of 36 years, he was diagnosed with an abdominal aortic aneurysm dissection requiring a bypass graft repair. Extensive evaluation including transesophageal echocardiogram was unrevealing; however, his fevers resolved with empiric antibiotics. He was diagnosed with presumed culture-negative prosthetic valve endocarditis. Four weeks prior to the current presentation, he was discharged on intravenous ceftriaxone and vancomycin with oral rifampin.

Original languageEnglish (US)
Title of host publicationThe Infectious Disease Diagnosis
Subtitle of host publicationA Case Approach
PublisherSpringer International Publishing
Number of pages5
ISBN (Electronic)9783319649061
ISBN (Print)9783319649054
StatePublished - Jan 1 2017
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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