Infect Chemother.  2010 Oct;42(5):307-310. 10.3947/ic.2010.42.5.307.

A Case of Pneumococcal Endocarditis Accompanied by Arthritis and Meningitis

• Park JY
• Hwang EJ
• Park SY
• Moon SY
• Son JS
• Lee MS

• KMID: 1806895
• DOI: http://doi.org/10.3947/ic.2010.42.5.307

Abstract

Streptococcus pneumoniae is a common cause of pneumonia. S. pneumoniae also had been a frequent cause of infective endocarditis in the past, but its incidence has markedly decreased after the introduction of effective antibiotics. S. pneumoniae is now a rare cause of this invasive and fatal disease, not to mention S. pneumoniae bacteremia with multiple metastatic infections. We report a 74-year-old woman who presented with arthritis and fever and was diagnosed with infective endocarditis accompanied by meningitis and septic arthritis due to S. pneumoniae without pneumonia. After treatment with antibiotics, the patient recovered without complications. Although S. pneumoniae is a rare cause of infective endocarditis with multiorgan involvement, S. pneumonia should be considered as one of the potential pathogens in such cases.

Keyword

Streptococcus pneumoniae; Infective endocarditis; Meningitis; Septic arthritis

MeSH Terms

Aged
Anti-Bacterial Agents
Arthritis
Arthritis, Infectious
Bacteremia
Endocarditis
Female
Fever
Humans
Incidence
Meningitis
Pneumonia
Streptococcus pneumoniae
Anti-Bacterial Agents

Figure

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  Figure 1 The bone scan of the whole body. Initial bone scan shows increased uptake of the side of the left knee.

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  Figure 2 Changes in transthoracic echocardiographic findings with treatment. Initial transthoracic echocardiogram shows about 14×7 mm sized hypoechoic oscillating mass on the posterior leaflet of the mitral valve (2A, 2B, blue arrow), and mild degree of mitral regurgitation (2C). Follow up echocardiogram shows decreased size of the vegetation to 7.8 mm×6.9 mm (2D, blue arrow).

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