Endgames Picture Quiz

An ECG that changed in a febrile patient

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f585 (Published 06 February 2013) Cite this as: BMJ 2013;346:f585

Re: An ECG that changed in a febrile patient

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: No competing interests

11 February 2013
Moayed Alawami
House Officer
South Canterbury District Health Board
Private bag 911, Timaru 7940 New Zealand