Vertebral osteomyelitis combined streptococcal viridans endocarditis.
Endocarditis may be difficult to diagnose in patients with osteomyelitis in an early stage because they usually are treated for fever, bone pain and stiffness in the outpatient department. Herein we report an uncommon patient who developed severe lower back pain sustained for 2 months, and streptococcal viridans infected vertebral osteomyelitis combined endocarditis were diagnosed and cured.
Lee
Kuo-Chen
KC
Department of Surgery, Division of Cardiovascular Surgery, Tri-Service General Hospital-National Defense Medical Center, No. 325, Cheng-Kung Road Sec. 2, Neihu 114, Taipei, Taiwan, ROC. cvslee@seed.net.tw
Tsai
Yi-Ting
YT
Lin
Chih-Yuan
CY
Tsai
Chien-Sung
CS
D000208:Acute Disease; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D017116:Low Back Pain / Q000000981:diagnostic imaging / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging / Q000382:microbiology*; D011877:Radionuclide Imaging; D013290:Streptococcal Infections / Q000000981:diagnostic imaging; D034363:Viridans Streptococci; D014915:Whole-Body Counting