Musculoskeletal manifestations of bacterial endocarditis

Musculoskeletal manifestations of bacterial endocarditis

Author Rangel, Erika Bevilaqua Autor UNIFESP Google Scholar
Atallah, Álvaro Nagib Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract 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.

CONTEXTO: A incidência da Infecção estafilocócica vem aumentando durante os últimos 20 anos. OBJETIVO: Relatar um caso de infecção estafilocócica precedida por sintomas músculo-esqueléticos, o que é uma forma rara de apresentação clínica. TIPO DE ESTUDO: Relado de caso. RELATO DO CASO: Paciente de 45 anos, sexo masculino, sem co-morbidades, não usuário de drogas endovenosas e com diagnóstico de endocardite bacteriana estafilocócica em válvula mitral, adquirida na comunidade e sem foco primário aparente. O diagnóstico foi precedido por dor lombar em cerca de 20 dias e complicada com eventos vasculares e petéquias, além de insuficiência mitral abordada apenas clinicamente.
Keywords Bacterial endocarditis
Musculoskeletal symptoms
Staphylococcal infection
Endocardite bacteriana
Sintomas músculo-esqueléticos
Infecção estafilocócica
Language English
Date 2000-09-07
Published in São Paulo Medical Journal. Associação Paulista de Medicina - APM, v. 118, n. 5, p. 158-160, 2000.
ISSN 1516-3180 (Sherpa/Romeo)
Publisher Associação Paulista de Medicina - APM
Extent 158-160
Origin http://dx.doi.org/10.1590/S1516-31802000000500009
Access rights Open access Open Access
Type Article
SciELO ID S1516-31802000000500009 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/1033

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