A 34-year-old woman with a history of mitral valve prolapse suddenly came down with a fever and chills soon after a dental cleaning. She appeared ill and her husband rushed her to the ED after they noticed that she had multiple petechiae on her fingers and hands. During her exam in the ED she mentioned that she was experiencing some vision loss and nausea.
What's your diagnosis?
A. Bacterial sepsis
B. Acute bacterial endocarditis
C. Systemic lupus erythematosus
D. Thrombotic thrombocytopenic purpura (TTP)
For guidance, refer to the differential builder on VisualDx.
See the next page for the answer.