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KMID : 1161920170140020070
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Journal of Medicine and Life Science
2017 Volume.14 No. 2 p.70 ~ p.73
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Infective Endocarditis Presented with Septic Sacroiliitis
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Jeong Woo-Seong
Yoo Jeong-Rae
Heo Sang-Taek
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Abstract
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A 19-year-old girl presented to our hospital with right hip pain, fever, and weight loss for 4 weeks. Initial laboratory findings showed an elevated C-reactive protein (3.61 mg/L) and a positive rheumatoid factor. Arthritis on the both scaroiliac joints was revealed on three phase bone scan. She had treated with antibiotics for septic sacroiliitis. Penicillin susceptible Streptococcus sanguinis was isolated from blood cultures. A transesophaseal echocardiography showed a vegetation on the mitral valve, which confirmed our diagnosis of infective endocarditis. She was treated with penicillin G and gentamicin with a total duration of treatment of 4 weeks. This report showed a rare septic sacroiliitis complicated by infective endocarditis caused by viridans streptococcus. Although, sacroilitis is an important component of inflammatory spondyloarthropathy, infective endocarditis would be evaluated in case of a septic arthritis.
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KEYWORD
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Endocarditis, Sacroiliitis, Spondyloarthropathy, Streptococcus sanguinis
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