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Infectious endocarditis: unusual cause of lower back pain


MOJ Clinical & Medical Case Reports
Ivan Cadena Vélez, Manuela Grego, Luis Siopa

Abstract

Endocarditis has been shown to be a common cause of vertebral osteomyelitis. This combination is potentially fatal and needs to be diagnosed early with an echocardiogram. Suspicion is the key, with a complete history taking and physical examination. In this case, our objective was to report the late diagnosis of endocarditis in one patient with spondylodiscitis caused by Staphylococcus aureus, community-acquired. Imaging tests showed an osteolytic lesion of the lumbar vertebrae that after the investigation was defined to be due to complications of bacterial endocarditis. Concerning the duration of treatment and hospitalization, there is no significant difference between IE alone and IE with spondylodiscitis, especially with regard to patient age and gender, clinical and laboratory features, and evolution of the disease.

 

Keywords

endocarditis, infectious, staphylococcus, spondylodiscitis

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