Résumé
CONTEXT: 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. DESIGN: Case report. CASE REPORT: 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
Sujets)
Humains , Mâle , Adulte d'âge moyen , Infections à staphylocoques/complications , Maladies ostéomusculaires/microbiologie , Lombalgie/microbiologie , Endocardite bactérienne/complications , Infections à staphylocoques/diagnostic , Infections à staphylocoques/traitement médicamenteux , Staphylococcus aureus/croissance et développement , Maladies ostéomusculaires/diagnostic , Maladies ostéomusculaires/traitement médicamenteux , Lombalgie/diagnostic , Lombalgie/traitement médicamenteux , Endocardite bactérienne/diagnostic , Endocardite bactérienne/traitement médicamenteuxRésumé
Los autores comunican dos casos de absceso paravertebral cuya forma de presentación fue síndrome lumbociático. Se comentan las características del cuadro clínico, destacando el tipo de dolor. Se discuten los exámenes de laboratorio señalando la utilidad de la tomografía computada de abdomen y pelvis. Se sugiere el drenaje quirúrgico amplio como el tratamiento de elección y se menciona la posibilidad de meningitis como complicación grave