title: Musculoskeletal manifestations of bacterial endocarditis.
abstract: BACKGROUND
  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.
  
  
  METHODS
  Case report.
  
  
  METHODS
  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.
authors.affiliation: Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: E B
authors.initials: EB
authors.lastname: Rangel
authors.forename: A N
authors.initials: AN
authors.lastname: Atallah
mesh_terms: D004697:Endocarditis, Bacterial / Q000150:complications* / Q000382:microbiology; D006801:Humans; D017116:Low Back Pain / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000382:microbiology*; D013203:Staphylococcal Infections / Q000150:complications*; D013211:Staphylococcus aureus / Q000254:growth & development