A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis Endocarditis
Infectious tenosynovitis as a presenting symptom of infective endocarditis (IE) is unusual. We report the case of a 65-year-old man admitted for surgical aortic valve replacement 6 years previously who presented with ankle pain. Targeted imaging revealed septic emboli in the tibialis posterior tendo...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2023-10-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0328 |
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| author | Simon Stutz Roberto Buonomano Alain Rudiger Elias Bodendoerfer Thomas Herren |
| author_facet | Simon Stutz Roberto Buonomano Alain Rudiger Elias Bodendoerfer Thomas Herren |
| author_sort | Simon Stutz |
| collection | DOAJ |
| description | Infectious tenosynovitis as a presenting symptom of infective endocarditis (IE) is unusual. We report the case of a 65-year-old man admitted for surgical aortic valve replacement 6 years previously who presented with ankle pain. Targeted imaging revealed septic emboli in the tibialis posterior tendon, kidney, and the brain. Cardiobacterium hominis was identified in blood cultures, and the diagnosis of IE was confirmed by echocardiography. Portal of entry was a fractured and infected tooth, which was removed. Antibiotic treatment with ceftriaxone was successful. Atraumatic infectious tenosynovitis caused by hematogenous spread should raise the suspicion of IE. |
| format | Article |
| id | doaj-art-6489e3672a374bc58abeecad9972932b |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-6489e3672a374bc58abeecad9972932b2025-08-20T02:13:01ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-10-0121010.7326/aimcc.2023.0328A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis EndocarditisSimon Stutz0Roberto Buonomano1Alain Rudiger2Elias Bodendoerfer3Thomas Herren41Department of Medicine, Limmattal Hospital, Schlieren, Switzerland3Department of Medicine, Division of Infectious Diseases, Limmattal Hospital, Schlieren, Switzerland4Department of Medicine, Limmattal Hospital, Schlieren, Switzerland6Institute of Medical Microbiology, University of Zurich, Zurich, Switzerland5Faculty of Medicine, University of Zurich, Zurich, SwitzerlandInfectious tenosynovitis as a presenting symptom of infective endocarditis (IE) is unusual. We report the case of a 65-year-old man admitted for surgical aortic valve replacement 6 years previously who presented with ankle pain. Targeted imaging revealed septic emboli in the tibialis posterior tendon, kidney, and the brain. Cardiobacterium hominis was identified in blood cultures, and the diagnosis of IE was confirmed by echocardiography. Portal of entry was a fractured and infected tooth, which was removed. Antibiotic treatment with ceftriaxone was successful. Atraumatic infectious tenosynovitis caused by hematogenous spread should raise the suspicion of IE.https://www.acpjournals.org/doi/10.7326/aimcc.2023.0328 |
| spellingShingle | Simon Stutz Roberto Buonomano Alain Rudiger Elias Bodendoerfer Thomas Herren A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis Endocarditis Annals of Internal Medicine: Clinical Cases |
| title | A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis Endocarditis |
| title_full | A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis Endocarditis |
| title_fullStr | A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis Endocarditis |
| title_full_unstemmed | A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis Endocarditis |
| title_short | A Rare Cause of Infectious Tenosynovitis: Cardiobacterium hominis Endocarditis |
| title_sort | rare cause of infectious tenosynovitis cardiobacterium hominis endocarditis |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2023.0328 |
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