Re: An ECG that changed in a febrile patient

11 February 2013

Thanks for this interesting case. I noted that patient had LEFT upper motor neurone weakness plus infarction in the LEFT frontoparietal lobe. The infarction should be on the contralateral side (RIGHT) to cause LEFT arm weakness. The patient could have shower embolism due to endocarditis but this would result in diffuse neurological signs rather than isolated unilateral arm weakness. I think this should be reviewed.

Competing interests: None declared

Moayed Alawami, House Officer

South Canterbury District Health Board, Private bag 911, Timaru 7940 New Zealand

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