Osler's nodules and Janeway lesions, their clinical diagnostic utility oriented towards infective endocarditis in users of continuous venipuncture for aesthetic procedures, platelet-rich plasma (PRP) and their stigma related to parenteral drugs (IPDU) Case report

Document Type : Case Report

Authors

1 Clinical Dermatology Service, San Alejandro Clinic, Tlaxcala, Mexico

2 Gynecology and Obstetrics Service, San Alejandro Clinic – Mexico

3 Resident Doctor, San Alejandro Clinic – Mexico

4 Department of Cardiovascular Surgery, National Medical Center 20 of November – ISSSTE, Mexico City, Mexico

Abstract

Infective endocarditis (IE) in users of continuous venipuncture for aesthetic procedures such as treatment with Platelet Rich Plasma (PRP) and parenteral drugs (IPDU) is a rare but potentially serious complication. The clinical, microbiological, and histological data of an episode of infective endocarditis (IE) are described where Osler's Nodules and Janeway Lesions played a crucial role in the diagnosis of (IE). 43-year-old male, with no history of parenteral drug use (IPDU), but with a significant history of a facial aesthetic procedure such as peeling with platelet-rich plasma on repeated occasions. We present and discuss the diagnostic challenges and stigma associated with DUVP in this clinical context.

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