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-resistantEnterococcus faecalis.
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Rambaldi, M., Ambrosone, L., Migliaresi, S. et al. Infective endocarditis presenting as polyarthritis. Clin Rheumatol 17, 518–520 (1998). https://doi.org/10.1007/BF01451291
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DOI: https://doi.org/10.1007/BF01451291