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Revista del Instituto de Medicina Tropical

Print version ISSN 1996-3696

Abstract

JIMENEZ, Leticia; LLANES, Gloria; MELO, Camila  and  VALLEJOS, Maisa. Infective endocarditis and erythema multiforme minor. Rev. Inst. Med. Trop. [online]. 2023, vol.18, n.1, pp.74-80. ISSN 1996-3696.  https://doi.org/10.18004/imt/2023.18.1.9.

Erythema multiforme is an immune-mediated reaction that involves the skin and sometimes the mucosa. Infections and medications are the most common causes. Typically presents as raised “target” lesions with a pale center and erythematous border or atypical lesions such as vesicles or bullae. We present the case of a 68-year-old woman who presented with a tumor on the right forearm with inflammatory signs plus fever, a mycotic aneurysm was confirmed by ultrasound in the limb and a transthoracic echocardiography was performed where vegetations were observed on the aortic and mitral valves. During hospitalization, she presented bullous lesions with erythematous borders distributed on the trunk and arms with a biopsy that reported bullous lichenoid eruption compatible with erythema multiforme minor.

Keywords : Erythema multiforme; infective endocarditis; mycotic aneurysm.

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