Subacute bacterial endocarditis presenting as polymyalgia rheumatica or giant cell arteritis.
Clin Exp Rheumatol
; 24(2 Suppl 41): S38-40, 2006.
Article
en En
| MEDLINE
| ID: mdl-16859595
OBJECTIVE: To report on several patients with subacute bacterial endocarditis who were initially presumed, incorrectly, to have polymyalgia rheumatica or giant cell arteritis. METHODS: We report 3 cases of subacute streptococcal endocarditis mimicking giant cell arteritis in 2 cases and polymyalgia rheumatica in one. We reviewed the literature through Medline search of French and English-language articles published between 1966 and 2005 and found 5 similar cases. RESULTS: Shoulder and/or pelvic girdle pain was associated with neck or back pain in all patients. Scalp tenderness, bilateral jaw pain, amaurosis fugax were present in 2 patients. One patient had no fever. Two patients were treated with corticosteroids with initial good clinical response in one. Appropriate antibiotic therapy resulted in the rapid disappearance of rheumatic complaints in 2 patients and achieved a definitive cure of endocarditis in all cases. CONCLUSION: Rheumatologic symptoms may hinder the correct diagnosis of infective endocarditis in patients who present with a clinical picture suggesting polymyalgia rheumatica or giant cell arteritis. In such cases, blood cultures should be systematically drawn.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Polimialgia Reumática
/
Infecciones Estreptocócicas
/
Arteritis de Células Gigantes
/
Endocarditis Bacteriana Subaguda
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Clin Exp Rheumatol
Año:
2006
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Italia