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Eur J Cardiothorac Surg 2003;23:125-127
© 2003 Elsevier Science NL

Case report

Vertebral osteomyelitis combined streptococcal viridans endocarditis

Department of Surgery, Division of Cardiovascular Surgery, Tri-Service General Hospital-National Defense Medical Center, No. 325, Cheng-Kung Rd, Sec. 2, Neihu 114, Taipei, Taiwan, ROC

Received 27 May 2002; received in revised form 15 September 2002; accepted 1 October 2002.

* Corresponding author. Tel.: +886-2-8792-7212; fax: +886-2-8792-7376
e-mail: cvslee{at}seed.net.tw

Endocarditis may be difficult to diagnose in patients with osteomyelitis in an early stage because they usually are treated for fever, bone pain and stiffness in the outpatient department. Herein we report an uncommon patient who developed severe lower back pain sustained for 2 months, and streptococcal viridans infected vertebral osteomyelitis combined endocarditis were diagnosed and cured.

Key Words: Osteomyelitis • Endocarditis • Streptococcal viridans