关键词: 发热 , 蛋白尿 , 腰痛 , 感染性心内膜炎

Abstract:

A 15-years old patient with recurrent fever, edema, massive proteinuria, and acute lumbago was found thrombosis of the left renal artery. Further examination revealed that there were valvular vegetations, so much thrombosis of multiple right renal arteries and right lateral ventricles. Thus he was finally diagnosed as infective endocarditis. After treatment of antibiotics and anticoagulation, the condition was improved rapidly. Conclusion: This case may be helpful for clinician to take attention on infective endocarditis due to organ embolism, and not simply confined to the diagnosis of kidney disease, to avoid delay of diagnosis and treatment.