J Med Life Sci > Volume 14(2); 2017 > Article
Journal of Medicine and Life Science 2017;14(2):70-73.
DOI: https://doi.org/10.22730/jmls.2017.14.2.70    Published online December 18, 2018.
패혈성 천장관절염으로 나타난 감염성 심내막염
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Infective Endocarditis Presented with Septic Sacroiliitis
Woo Seong Jeong, Jeong Rae Yoo, Sang Taek Heo
Correspondence:  Sang Taek Heo,
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.
Key Words: Endocarditis, Sacroiliitis, Spondyloarthropathy, Streptococcus sanguinis
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