Musculoskeletal manifestations of bacterial endocarditis
Keywords:
Bacterial endocarditis, Musculoskeletal symptoms, Staphylococcal infectionAbstract
CONTEXT: The incidence of staphylococcal infection has been increasing during the last 20 years. OBJECTIVE: Report a case of staphylococcal endocarditis preceded by musculoskeletal manifestations, which is a rare form of clinical presentation. DESIGN: Case report. CASE REPORT: A 45-year-old-man, without addictions and without known previous cardiopathy, was diagnosed as having definitive acute bacterial endocarditis due to Staphylococcus aureus. Its etiology was community-acquired, arising from a non-apparent primary focus. In addition, the musculoskeletal symptoms preceded the infective endocarditis (IE) by about 1 month, which occurred together with other symptoms, e.g. mycotic aneurysms and petechiae. Later, the patient showed perforation of the mitral valve and moderate mitral insufficiency with clinical control.
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References
Lowy FD. Staphylococcus aureus infections. New Eng J Med 1998;339(8):520-32.
Durack DT, Lukes AS, Bright DK, et al. New criteria for diagnosis of infective endocarditis: utilization of specific echocardiograph findings. Am J Med 1994;96:200-6.
Bayer AS, Ward JI, Ginzton LE, Shapiro SM, et al. Evaluation of new clinical criteria for the diagnosis of infective endocarditis. Am J Med 1994;96:211-19.
Heiro M, Nikoskelainen J, Hartiala JJ, Saraste NK, Kotilainen PM. Diagnosis of infective endocarditis. Arch Intern Med 1998;158:18-24.
Bayer AS. Infective endocarditis. Clin Inf Dis 1993;17:313-20.
Weinstein L. Life-threatening complications of infective endocarditis and their management. Arch Intern Med 1986;146:953-7.
Willcox PA, Rayner BL, Whitelaw DA, et al. Community-acquired Staphylococcus aureus bacteremia in patients who do not abuse intravenous drugs. Quart J Med 1998;91:41-7.
Heimens PA. The clinical manifestations of infective endocarditis. Mayo Clin Proc 1982;57:15-21.
Churchill MA, Geraci JE, Huder GG, et al. Musculoskeletal manifestations of bacterial endocarditis. Ann Intern Med 1977;87:754-9.
Vuielle C, Nirdof M, Weyman AE, Picard MH. Natural history of vegetation during successful medical treatment of endocarditis. Am Heart J 1994;128(6):1200-9.
