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Vertebral osteomyelitis combined streptococcal viridans endocarditis.
Kuo-Chen Lee1, Yi-Ting Tsai, Chih-Yuan Lin
1Department of Surgery, Division of Cardiovascular Surgery, Tri-Service General Hospital-National Defense Medical Center, No. 325, Cheng-Kung Road Sec. 2, Neihu 114, Taipei, Taiwan, ROC. cvslee@seed.net.tw
Summary
Diagnosing endocarditis early in osteomyelitis patients is challenging due to overlapping symptoms. This case highlights a rare instance of vertebral osteomyelitis with streptococcal endocarditis successfully treated after prolonged back pain.
Area of Science:
- Infectious Diseases
- Cardiology
- Orthopedics
Background:
- Endocarditis and osteomyelitis share early symptoms like fever and pain, complicating diagnosis.
- Patients are often treated for symptoms in outpatient settings, delaying definitive diagnosis.
Observation:
- A patient presented with severe lower back pain lasting two months.
- Initial symptoms mimicked common musculoskeletal issues.
Findings:
- The patient was diagnosed with vertebral osteomyelitis caused by viridans streptococci.
- Concurrent endocarditis was identified as a complication.
Implications:
- This case underscores the importance of considering endocarditis in persistent osteomyelitis symptoms.
- Early and accurate diagnosis is crucial for effective treatment of combined infections.