Pneumococcal Endocarditis in a 49-Year-Old Male With Concomitant Myocarditis, Septic Spinal Arthritis, and Paraspinal Myositis: A Case Report.

ABSTRACT: Pneumococcal infective endocarditis (PIE) is a rare but serious infection often presenting with systemic complications such as septic emboli, myocarditis, and septic arthritis. This case report highlights a 49-year-old male who presented with acute-on-chronic lower back pain and fever, later diagnosed with PIE complicated by septic spinal arthritis, paraspinal myositis, and developing myocarditis. A 49-year-old male presented to the emergency department (ED) with worsening back pain and fever after treatment failure for suspected pyelonephritis. Laboratory studies revealed leukocytosis, hypercalcemia, and acute kidney injury, while magnetic resonance imaging (MRI) identified septic facet arthritis and abscess formation. A transesophageal echocardiogram (TEE) revealed aortic valve vegetatio

SUBMITTER: Moore T 

PROVIDER: S-EPMC11563053 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature