• E B Rangel and A N Atallah.
• Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
• Sao Paulo Med J. 2000 Sep 7; 118 (5): 158160158-60.

ContextThe incidence of staphylococcal infection has been increasing during the last 20 years.ObjectiveReport a case of staphylococcal endocarditis preceded by musculoskeletal manifestations, which is a rare form of clinical presentation.DesignCase report.Case ReportA 45-year-old-man, without addictions and without known previous cardiopathy, was diagnosed as having definitive acute bacterial endocarditis due to Staphylococcus aureus. Its etiology was community-acquired, arising from a non-apparent primary focus. In addition, the musculoskeletal symptoms preceded the infective endocarditis (IE) by about 1 month, which occurred together with other symptoms, e.g. mycotic aneurysms and petechiae. Later, the patient showed perforation of the mitral valve and moderate mitral insufficiency with clinical control.

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