Right-Sided Native Valve Endocarditis Revealing Adult-Onset Still Disease
Authors: Alain Saraux, Aymeric Binard, Valérie Devauchelle-Pensec, Yannick Jobic, Sandrine Jousse-Joulin
Journal: Annals of Internal Medicine (2008)

Letters7 October 2008Right-Sided Native Valve Endocarditis Revealing Adult-Onset Still DiseaseAlain Saraux, MD, PhD, Aymeric Binard, MD, Valérie Devauchelle-Pensec, MD, PhD, Yannick Jobic, MD, and Sandrine Jousse-Joulin, MDAlain Saraux, MD, PhDFrom Brest Teaching Hospital, 29609 Brest, France.Search for more papers by this author, Aymeric Binard, MDFrom Brest Teaching Hospital, 29609 Brest, France.Search for more papers by this author, Valérie Devauchelle-Pensec, MD, PhDFrom Brest Teaching Hospital, 29609 Brest, France.Search for more papers by this author, Yannick Jobic, MDFrom Brest Teaching Hospital, 29609 Brest, France.Search for more papers by this author, and Sandrine Jousse-Joulin, MDFrom Brest Teaching Hospital, 29609 Brest, France.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-7-200810070-00022 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Adult-onset Still disease (AOSD) can manifest as noninfective endocarditis that simulates infective endocarditis. It is the most common connective tissue disease responsible for fever of unknown origin (1).Objective: To report a case of noninfective endocarditis of the tricuspid valve caused by AOSD in a patient with fever of unknown origin.Case Report: A 17-year-old man was transferred to our institution for evaluation of fever of unknown origin. His symptoms had started a few weeks earlier and consisted of high-grade fever (temperature up to 39 °C), asthenia, myalgia, night sweats, intermittent sore throat, knee pain, and headache. At admission, ...References1. Cunha BA. Fever of unknown origin: focused diagnostic approach based on clinical clues from the history, physical examination, and laboratory tests. Infect Dis Clin North Am. 2007;21:1137-87, xi. [PMID: 18061092] CrossrefMedlineGoogle Scholar2. Fautrel B, Zing E, Golmard JL, Le Moel G, Bissery A, Rioux C; et al.. Proposal for a new set of classification criteria for adult-onset still disease. Medicine (Baltimore). 2002;81:194-200. [PMID: 11997716] CrossrefMedlineGoogle Scholar3. Moreillon P, Que YA. Infective endocarditis. Lancet. 2004;363:139-49. [PMID: 14726169] CrossrefMedlineGoogle Scholar4. Churchill MA, Geraci JE, Hunder GG. Musculoskeletal manifestations of bacterial endocarditis. Ann Intern Med. 1977;87:754-9. [PMID: 145198] LinkGoogle Scholar5. Roldan CA, Shively BK, Crawford MH. An echocardiographic study of valvular heart disease associated with systemic lupus erythematosus. N Engl J Med. 1996;335:1424-30. [PMID: 8875919] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Brest Teaching Hospital, 29609 Brest, France.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAutoinflammation leading to autoimmunity in adult-onset Still’s disease: more than simple coincidence?Les endocardites non infectieusesVégétation tricuspidienne au cours d’une maladie de Still, une manifestation non infectieuse rare de lésion intracardiaqueEndocarditis in Adult-onset Still Disease: A Case Report and Literature ReviewAdult-Onset Still's Disease and Cardiac Tamponade: A Rare AssociationAtteinte cardiorespiratoire au cours de la maladie de Still de l’adulteA Rare Presentation of Endocarditis in Adult-onset Still’s Disease in Diagnosis of Fever of Unknown Origin: Table 1. 7 October 2008Volume 149, Issue 7Page: 517-519KeywordsEchocardiographyEndocarditisFever of unknown originFeversInflammationKneesLaboratory testsMyalgiaSystoleThorax ePublished: 7 October 2008 Issue Published: 7 October 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...