[Pneumococcal tricuspid valve endocarditis].
Endocarditis caused by pneumococci is a rare disease and cases that only affect the tricuspid valve represent less than 1% of all cases of endocarditis. A case presenting with a primary pneumonia and septicaemia is described. Due to persistent fever and the occurrence of a cardiac murmur echocardiography was done and demonstrated vegetations on the tricuspid valve. The course was complicated with septic pulmonary emboli before the patient recovered. Endocarditis with pneumococci may occur as a complication to a primary pneumonia and underestimation of the frequency with which it occurs is a possibility. Attention should be paid to patients with a primary pneumonia who do not respond to the initial treatment and to those who after an initial response show recurrent fever.
Medicinsk afdeling B, Frederiksberg Hospital.
S
S
Rasmussen
U
U
Talleruphuus
J H
JH
Wandall
D003937:Diagnosis, Differential; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011008:Pneumococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy; D011018:Pneumonia, Pneumococcal / Q000175:diagnosis; D018805:Sepsis / Q000175:diagnosis; D014261:Tricuspid Valve / Q000382:microbiology*; D014463:Ultrasonography
Trikuspidalklapendocarditis med pneumokokker.