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

Affiliations
  • 1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 2Department of Internal Medicine and Cardiology, National Health insurance corporation Ilsan hospital, Gyeonggi-do, Korea. osjwsa@dreamwiz.com

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*
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