Emergency department point of care ultrasound utility in diagnosing infective endocarditis presenting as abdominal pain with bilateral iliac occlusion

This patient had an atypical presentation of infective endocarditis in the ED, and bedside POCUS was one of the keys to the diagnosis. Although infective endocarditis is rare, emergency physicians should be aware of the diagnosis and its potential complications, and consider it in prolonged fever without a clear source. Bedside POCUS can be a valuable first-line imaging tool in the ED to rule in the diagnosis of IE, and to look for complications as well as indications for surgical intervention. Further research needs to be done to look at the sensitivity and specificity of POCUS compared to routine Transthoracic Echocardiogram/ Transoesophageal Echocardiogram.