title: [Staphylococcus aureus endocarditis: an unusual clinical picture].
abstract: We describe an unusual presentation of bacterial endocarditis due to Staphylococcus aureus in a 50 year-old woman with mitral insufficiency. The disease began by a vascular purpura without fever and a digital embolism. The source of infection was anal ulcerations. Diagnosis of endocarditis was made possible by trans-oesophagus echocardiography but not by trans-thoracic echocardiography. The patient was successfully treated by surgery associated with antibiotherapy. This observation emphasizes the indications of surgery at the acute phase of endocarditis. The anal source of endocarditis is original, no other case has been found in the literature.
authors.affiliation: Service de médecine vasculaire, hôpital Broussais, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Acar
authors.forename: J
authors.initials: J
authors.lastname: Emmerich
authors.forename: C
authors.initials: C
authors.lastname: Acar
authors.forename: L
authors.initials: L
authors.lastname: Capron
authors.forename: J N
authors.initials: JN
authors.lastname: Fiessinger
mesh_terms: D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology* / Q000601:surgery; D005260:Female; D005385:Fingers / Q000098:blood supply; D006801:Humans; D008875:Middle Aged; D013203:Staphylococcal Infections
vernacular_title: Endocardite à Staphylococcus aureus: présentation clinique inhabituelle.