Korean Circ J.  1998 Aug;28(8):1372-1377. 10.4070/kcj.1998.28.8.1372.

A Case of Tricuspid Valve Endocarditis with Vegetation in a Non-Drug Addict without Underlying Cardiac Disease

Affiliations
  • 1Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.

Abstract

Tricuspid valve endocarditis accounts for 5% to 10% of cases of infective endocarditis. It commonly occurs in intravenous drug abusers, intravenous catheters, alcoholism, immune deficiency and genital sepsis. But right sided infective endocarditis without predisposing factor is very rare. S. aureus is the usual pathogen. We experienced a case of tricuspid valve endocarditis in a 32 year old female with vegetation in a non drug addict without underlying cardiac disease. The vegetation on the septal cusp of tricuspid valve and tricuspid regurgitation were found by TTE & TEE. S. aureus was identified in 4 bottles of blood cultures. The diagnosis was delayed because the cardiac manifestations of the disease were subtle, and pleuropulmonary manifestations predominant. So we report a case of tricuspid valve endocarditis in a non drug addict without underlying cardiac disease with a review of literature.

Keyword

Tricuspid valve endocarditis

MeSH Terms

Adult
Alcoholism
Catheters
Causality
Diagnosis
Drug Users
Endocarditis*
Female
Heart Diseases*
Humans
Sepsis
Tricuspid Valve Insufficiency
Tricuspid Valve*
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