Clinical Case Database / Category: Patient Management

Infective endocarditis in an older person

Publication details

Sarah Boot MBChB, Elizabeth Thomas MBBS, Michael Charlesworth MSci, MBChB, Oliver J Corrado MBBS FRCP (Lond)
Foundation Years Journal, volume 6, issue 1, p.30 (123Doc Education, London, January 2012)


An 82-year-old man was admitted to hospital having fallen at home. His son found him on the floor and the fall was not witnessed. He was pyrexial, acutely confused and unable to give a history. It was unclear how long he had been lying on the floor and what had lead to his collapse.

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Sarah Boot MBChB

Core Medical Trainee
St. James’s University Hospital

Elizabeth Thomas MBBS

VTS Trainee
St. James’s University Hospital

Michael Charlesworth MSci, MBChB

FY2 Doctor
St. James’s University Hospital

Oliver J Corrado MBBS FRCP (Lond) (Corresponding author)

Consultant Physician in Elderly Medicine
St. James’s University Hospital


1. Dhawan VK. Infective endocarditis in elderly patients. Clin Infect Dis. 2002;34:806–12.
2. Moreillon P, Que YA. Infective endocarditis. Lancet. 2004;363(9403):139-149
3. Cabell CH, Abrutyn E. Progress toward a global understanding of infective endocarditis: early lessons from the International Collaboration on Endocarditisinvestigation. Infect Dis Clin North Am. 2002;16(2):255-272.
4. Li JS, Sexton DJ, Mick N, Nettles R, Fowler VG, Ryan T, Bashore T, Corey GR. Proposed Modifications to the Duke Criteria for the Diagnosis of Infective Endocarditis. Clinical Infectious Diseases. 2000;30(4):633


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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