Abstract
We report the case of a patient who complained of arthralgias and arthritis 1 month before the onset of fever or other signs of infective endocarditis. In 2 months she developed an additive, asymmetrical polyarthritis with fever (febrile polyarthritis). Splenomegaly was present. Two-dimensional echocardiography showed no vegetations or other findings suggesting endocardial involvement. Initially, four blood cultures showed no microorganisms, then six of nine subsequent blood cultures grew highly gentamicin-resistant Enterococcus faecalis.
MeSH terms
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Adult
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Arthritis / diagnosis*
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Arthritis / drug therapy
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Arthritis / microbiology
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Drug Resistance, Microbial
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Echocardiography
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Electrocardiography
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Endocarditis, Bacterial / diagnosis*
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Endocarditis, Bacterial / drug therapy
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Endocarditis, Bacterial / microbiology
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Enterococcus faecalis / drug effects
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Enterococcus faecalis / isolation & purification*
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Female
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Fever / diagnosis
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Gentamicins / therapeutic use
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Gram-Positive Bacterial Infections / diagnosis*
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Gram-Positive Bacterial Infections / drug therapy
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Gram-Positive Bacterial Infections / microbiology
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Humans