OMINOUS DISEASE WITH AN UNUSUAL CLUE: BACTERIAL ENDOCARDITIS PRESENTING AS CUTANEOUS VASCULITIS

Sub-acute bacterial endocarditis (SABE) has varied manifestations with a few less common presentations like cutaneous vasculitis. We present one such case of a middle aged female who presented with aa painless rash involving both lower extremities. She was later found to have vegetations on echocardiogram. She was treated with appropriate antibiotics for bacterial endocarditis. Her rash resolved subsequently in a few days suggesting the etiology of rash as infective endocarditis. Hence, vasculitis rash should prompt both infective and immunological workup combined with skin biopsy to aide in specific diagnosis.