A Case of Aortic Valve Infective Endocarditis with Dermatological Findings of Infective Endocarditis

Infective endocarditis (IE) is associated with high morbidity and mortality. We present a case of a patient that presented with chest pain and had a workup focused on coronary artery disease and acute coronary syndrome. However, the patient had a history and, even more interestingly, physical exam findings, including Janeway lesions, Osler's nodes, and Splinter hemorrhages, indicative of infective endocarditis. We are sharing the findings that raised our suspicion for IE and a discussion on the pathophysiology of these findings in an effort to promote early recognition and treatment of IE.