[Endocarditis manifesting as a spondylodiscitis and psoas abscess].

The revealing of a bacterial endocarditis by a spondylodiscitis is relatively rare. Only 80 cases have been reported ever since De Sèze's and his team's first publication in 1965. We report the case of a 59 year old women, hospitalized for a meningitis who presents signs of a spondylodiscitis and psoas abscess revealing an endocarditis. This case shows that one always have to search for an endocarditis when dealing with a spondylodiscitis. A thorough examination including a cardiac ultrasound is mandatory and a six weeks follow-up is necessary, since the prognosis depend mainly on the valvular disease.