Rambaldi M, Ambrosone L, Migliaresi S, Rambaldi A
Institute of Clinical Medicine-Rheumatology, Second University of Naples, Napoli, Italy.
Clin Rheumatol. 1998;17(6):518-20. doi: 10.1007/BF01451291.
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.
我们报告了一名患者的病例，该患者在发热或感染性心内膜炎的其他症状出现前1个月就出现了关节痛和关节炎。2个月内，她发展为伴有发热的进行性、不对称性多关节炎（发热性多关节炎）。存在脾肿大。二维超声心动图未显示赘生物或其他提示心内膜受累的表现。最初，四次血培养未发现微生物，随后九次血培养中有六次培养出对庆大霉素高度耐药的粪肠球菌。
