He was found to have severe mitral regurgitation associated with a ruptured mitral chord and infective endocarditis.
Other causes of leg swelling, erythema, and tenderness include a ruptured Baker's cyst and infective cellulitis.
Overall, I would summarise the position by saying that the potential for transmission of infective TSE prions to susceptible cattle, sheep and humans via environmental contamination is particularly unclear.
Dietary, infective , and systemic causes must be excluded.
These agents might be arthropod-transmitted viruses, water contaminated with enteric bacteria, or helminths whose infective eggs and larvae are found in soil and invertebrate hosts.
A 70 year old man had had a painful ulcerated swelling of the distal segment of his left ring finger for several months; it had repeatedly been managed as an infective lesion, without improvement.
Prophylaxis for infective endocarditis is warranted only in those patients with the true disease of thickened redundant mitral leaflets, mitral regurgitation, or both.
A key step in the control of any communicable disease is the separation of the infective agent from the susceptible hosts.
Streptococci and enterococci are the most frequent pathogens causing infective endocarditis.
Mitral valves with annular calcification are predisposed to developing both infective endocarditis and periannular abscesses.