Korean J Med.  2004 Jun;66(6):625-629.

One case of with the right ventricular free wall vegetive infective endocarditis complicated by pulmonary embolism in a patient with ventricular septal defect

• Kim JB
• Oh SJ
• Lee SC
• Kim WH
• Moon YW
• Jun DW
• Yang JY

Abstract

Infective endocarditis is still one of the important fatal diseases especially when it is accompanied with systemic embolic manifestations. So, this is often misdiagnosised because of a variability of systemic embolic manifestations. We experienced a case of infective endocarditis with pulmonic embolic manifestations whose illness was initially diagnosed as recurrent pneumonia. She was a 20-yrs-old girl with ventricular septal defect and treated as community acquired pneumonia. But transesophageal echocardiography revealed a vegetation on right ventricular free wall. So, she was diagnosed as having infective endocarditis and treated effectively with appropriate antibiotic therapy and discharged with improvement of symptoms. This a first case of infective endocarditis with ventricular septal defect who have a vegetation on right ventricular free wall in korea. Therefore, we report this case with brief review of related literatures.

Keyword

Infective endocarditis; Ventricular septal defect

MeSH Terms

Diagnostic Errors
Echocardiography, Transesophageal
Endocarditis*
Female
Heart Septal Defects, Ventricular*
Humans
Korea
Pneumonia
Pulmonary Embolism*