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Query: UMLS:C0014118 (endocarditis)
 15,629 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The presentation of a pig farmer with acute arthritis of the shoulder, cardiac murmurs, and Streptococcus suis growing on blood cultures highlights one of the rheumatological presentations of bacterial endocarditis. The need for a thorough general medical examination together with synovial fluid and blood culture in patients with acute monarthritis is emphasised. The suggestion that acute arthritis related to endocarditis is in nature truly septic, rather than mediated by circulating immune complexes, is supported.
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PMID:Bacterial endocarditis presenting as acute monoarthritis. 340 Oct 56

Calcium pyrophosphate dihydrate (CPPD) crystal deposition disease may manifest clinically as septic fever (40 degrees C), acute pseudogout attack of knee, wrist and shoulders, or as a variety of patterns of chronic inflammatory or degenerative joint disease. The association of pseudogout with fever is less widely recognised and may lead to over-investigation, delay in appropriate treatment and disproportionate costs. We report on a 67-year-old woman with a history of recurrent episodes of fever and polyarthritis every 2 months for the last 3 years. Because of this she was hospitalised several times, finally with suspected culture-negative endocarditis, and was treated for 6 weeks with gentamicin, rifampicin and vancomycin. During this therapy the patient again developed septic fever and acute arthritis of the right wrist. Radiographs of the wrist, knee and symphysis pubis revealed prominent chondrocalcinosis and destructive arthropathy.
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PMID:[Fever of unknown origin as a sign of calcium pyrophosphate deposition disease]. 1080 2

1. Repeated injections into rabbits of non-hemolytic streptococci isolated from human cases of infectious endocarditis or rheumatic fever will produce an acute arthritis in the rabbit similar in most respects to the arthritis of acute rheumatism. 2. Microscopical sections of the joints show a gradual transition from an acute exudative inflammation to advanced organization. 3. Endocarditis and pericarditis occur in a small percentage of cases, and focal lesions in the myocardium consisting of necrosis and the infiltration of cells are frequent. These focal lesions differ considerably from Aschoff's submiliary nodules. 4. Lesions in the kidneys and liver occur but are not characteristic. 5. By means of the vital stain it has been shown that the large endothelioid cells which play a prominent part in the joint and myocardial lesions belong to the group of so called macrophages or wandering cells and probably develop from the vascular endothelium.
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PMID:A STUDY OF EXPERIMENTAL NON-HEMOLYTIC STREPTOCOCCUS LESIONS IN VITALLY STAINED RABBITS. 1986 70

We report a case of a female teenager with gonococcal septic arthritis of the right shoulder that also caused osteomyelitis of the humeral head. Infection with Neisseria gonorrhoeae is a frequently diagnosed sexually transmitted infection in the sexually active teenage population and disseminated gonococcal infection (DGI) is the most common systemic manifestation of acute gonorrhea. DGI commonly involves acute arthritis, tenosynovitis and dermatitis with less common complications of endocarditis, hepatitis and meningitis. In contrast, osteomyelitis has only rarely been reported as a result of gonococcal infection. Clinicians need to be aware of this unusual manifestation of DGI as a prolonged duration of antimicrobial treatment may be needed to assure complete resolution of this infection.
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PMID:Gonococcal osteomyelitis in a pediatric patient with disseminated gonococcal infection: Implications for antimicrobial management. 3263 20