MARTINEZ OVIEDO, A.; GRACIA SANCHEZ, P.; PUEO, E.    CHOPO, J. M.. Septic arthritis as an initial manifestation of bacterial endocarditis caused by Staphylococcus aureus. []. , 23, 4, pp.184-186. ISSN 0212-7199.

We describe a case of Staphylococcus aureus mitral valve endocarditis, in a 80-year-old man who presented with abrupt onset of septic arthritis of the glenohumeral joint, whithout cardiac sintomatology. Fever and articular infection recovery after articular drainage and antimicrobial therapy, but worsening caused by heart failure made valve replacement surgery urgent.He died sudendly before surgery could be done, Until august 2005, in medical literature (Index Medicus, Medline, Embase, Excerpta Medica), we have found 26 cases of bacterial endocarditis with articular infection, as initial manifestation, but none whith septic arthritis and only one in the glenohumeral joint. This report highligths that unexplained arthritis should alert us to the possibility of bacterial endocarditis because their influence on the clinical management and pronostic implications.

: Septic arthritis; Bacterial endocarditis; Staphylococcus aureus.

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