[Septic arthritis as an initial manifestation of endocarditis].
A 60-year-old female patient was admitted to the hospital with high fever and an acute onset of pauciarticular arthritis. Clinical examination and ultrasound imaging of the right knee demonstrated a severe synovitis with a large synovial effusion and a Baker's cyst. Arthrocentesis showed an opaque viscous synovial fluid with a highly elevated white blood cell count. In synovial fluid cultures and in serial blood cultures Aerococcus viridans (Av) was detected. Further examination revealed a mitral valve endocarditis as the origin of the septicemia. This case report is the first one to describe the association of an endocarditis and a septic arthritis due to Av.
Baerwald
C
C
Zentrum Innere Medizin, Med. Univ. Poliklinik, Universitätsklinkum Marburg.
Krause
A
A
Goebel
K M
KM
D001170:Arthritis, Infectious / Q000175:diagnosis*; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis*; D004754:Enterobacter / Q000302:isolation & purification; D004756:Enterobacteriaceae Infections / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000473:pathology; D011151:Popliteal Cyst / Q000175:diagnosis; D013582:Synovial Fluid / Q000382:microbiology; D014463:Ultrasonography
Septische Arthritis als Erstmanifestation einer Endokarditis.