Endocarditis-associated IgA vasculitis: Two subtle presentations of endocarditis caused by Candida parapsilosis and Cardiobacterium hominis

IgA vasculitis, also called Henoch-Schonlein purpura (HSP), is a form of cutaneous small-vessel vasculitis characterized by palpable purpura favoring the lower extremities, arthritis, nephritis, and IgA deposition within postcapillary venules of the skin and mesangium. In children, respiratory infections are well known to precede HSP. In adults, infectious endocarditis is a rare but potentially fatal trigger for HSP. We report the subtle presentations of subacute endocarditis in 2 adults with cutaneous IgA vasculitis.