Spondylodiscitis and Streptoccus viridans endocarditis.
Infective endocarditis in association with spondylodiscitis is rarely observed. It is sometimes difficult to distinguish between rheumatologic diseases and infective endocarditis. We reported a 61-year-old male with Streptococcus viridans endocarditis suffering from low-back pain as initial symptom. Infective endocarditis was diagnosed according to Duke Criteria. L4-5 spondylodiscitis was revealed on the lumbar magnetic resonance imaging. He responded to antibiotic treatment. Infective endocarditis should be considered in patients with fever and low-back pain due to spondylodiscitis.
Yavasoglu
Irfan
I
Adnan Menderes University Medical School, Department of Internal Medicine, Division of Hematology, Aydin, Turkey. dryavas@hotmail.com
Kadikoylu
Gurhan
G
Bolaman
Zahit
Z
Senturk
Taskin
T
D003937:Diagnosis, Differential; D015299:Discitis / Q000209:etiology* / Q000382:microbiology; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D017116:Low Back Pain / Q000209:etiology* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D034363:Viridans Streptococci / Q000472:pathogenicity*