Meyers O L, Commerford P J
Ann Rheum Dis. 1977 Dec;36(6):517-19. doi: 10.1136/ard.36.6.517.
The records of 180 patients out of 247 with bacterial endocarditis were examined. 50 patients had rheumatic manifestations. In 10 there was arthritis of 2-12 weeks' duration before diagnosis; 19 had myalgia/arthralgia; 17 had back or neck pain; 14 had demonstrable arthritis; and 2 tenosynovitis of the foot. Of the 14 patients with arthritis, 8 had monarticular arthritis and 6 polyarticular. All but one patient had a raised erythrocyte sedimentation rate, and in one patient rheumatoid factor was positive. The rheumatic features responded when the endocarditis was treated. Some of the symptoms undoubtedly resulted from the infection and fever of the endocarditis, and emboli may have caused the transient aches but there was no evidence that they caused the synovitis in the patients with arthritis. The rheumatic manifestations of bacterial endocarditis can mimic other rheumatic diseases and disguise the underlying disease.
对247例细菌性心内膜炎患者中的180例患者的记录进行了检查。50例患者有风湿表现。其中10例在诊断前有持续2 - 12周的关节炎；19例有肌痛/关节痛；17例有背部或颈部疼痛；14例有可证实的关节炎；2例有足部腱鞘炎。在14例患有关节炎的患者中，8例为单关节关节炎，6例为多关节关节炎。除1例患者外，所有患者的红细胞沉降率均升高，1例患者类风湿因子呈阳性。治疗心内膜炎时，风湿症状有所缓解。毫无疑问，一些症状是由心内膜炎的感染和发热引起的，栓子可能导致了短暂的疼痛，但没有证据表明它们导致了关节炎患者的滑膜炎。细菌性心内膜炎的风湿表现可模仿其他风湿性疾病并掩盖潜在疾病。
