Baerwald C, Krause A, Goebel K M
Zentrum Innere Medizin, Med. Univ. Poliklinik, Universitätsklinkum Marburg.
Z Rheumatol. 1990 May-Jun;49(3):165-8.
A 60-year-old female patient was admitted to the hospital with high fever and an acute onset of pauciarticular arthritis. Clinical examination and ultrasound imaging of the right knee demonstrated a severe synovitis with a large synovial effusion and a Baker's cyst. Arthrocentesis showed an opaque viscous synovial fluid with a highly elevated white blood cell count. In synovial fluid cultures and in serial blood cultures Aerococcus viridans (Av) was detected. Further examination revealed a mitral valve endocarditis as the origin of the septicemia. This case report is the first one to describe the association of an endocarditis and a septic arthritis due to Av.
一名60岁女性患者因高热及少关节性关节炎急性发作入院。右膝关节的临床检查和超声成像显示严重滑膜炎，伴有大量滑膜积液和腘窝囊肿。关节穿刺抽出不透明的粘性滑液，白细胞计数显著升高。在滑液培养和系列血培养中检测到绿色气球菌（Av）。进一步检查发现二尖瓣心内膜炎是败血症的起源。本病例报告是首例描述由绿色气球菌引起的心内膜炎和脓毒性关节炎相关性的报告。
