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Fashion victim: infective endocarditis after nasal piercing
  1. IAN J RAMAGE,
  2. NEIL WILSON
  1. Royal Hospital for Sick Children
  2. Yorkhill
  3. Glasgow G3 8SJ
  4. Dumfries and Galloway Royal Infirmary
  5. Dumfries DG1 4AP
    1. RUTH B THOMSON
    1. Royal Hospital for Sick Children
    2. Yorkhill
    3. Glasgow G3 8SJ
    4. Dumfries and Galloway Royal Infirmary
    5. Dumfries DG1 4AP

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      Editor,—We report a case of infective endocarditis occurring after nasal piercing.

      A previously well 14 year old girl presented three weeks after nasal piercing and metal stud insertion. After insertion she developed progressive ‘flu’ like symptoms with fever, myalgia, headache, nausea, and vomiting. Examination revealed a normally developed girl who was pyrexial (39.4°C) and uncomfortable, with suprapubic and epigastric tenderness.

      Examination of her cardiovascular system demonstrated no abnormality.

      Investigations showed a neutrophil leucocytosis, a raised C reactive protein and erythrocyte …

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