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Right-Sided Native Valve Endocarditis Revealing Adult-Onset Still Disease
- Alain Saraux, MD, PhD;
- Aymeric Binard, MD;
- Valérie Devauchelle-Pensec, MD, PhD;
- Yannick Jobic, MD; and
- Sandrine Jousse-Joulin, MD
- From Brest Teaching Hospital, 29609 Brest, France.
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, he was febrile, but the only abnormal physical finding was diffuse enlargement of the peripheral lymph nodes without tenderness. Laboratory tests …
