title: Tricuspid valve endocarditis with large vegetations in a non-drug addict without underlying cardiac disease.
abstract: We report a case of gamma-streptococcal tricuspid valve endocarditis in a patient with no history of intravenous drug abuse. Echocardiography revealed large vegetations on the anterior and septal cusps. The patient had persistent fever and recurrent septic pulmonary embolism despite prolonged antibiotic therapy. However tricuspid valve replacement was successful.
authors.affiliation: Department of Internal Medicine, Tokyo Metropolitan Bokutou General Hospital.
authors.forename: T
authors.initials: T
authors.lastname: Iwama
authors.forename: S
authors.initials: S
authors.lastname: Shigematsu
authors.forename: K
authors.initials: K
authors.lastname: Asami
authors.forename: I
authors.initials: I
authors.lastname: Kubo
authors.forename: H
authors.initials: H
authors.lastname: Kitazume
authors.forename: S
authors.initials: S
authors.lastname: Tanabe
authors.forename: Y
authors.initials: Y
authors.lastname: Matsunaga
mesh_terms: D000368:Aged; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005334:Fever / Q000209:etiology; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D011859:Radiography; D013290:Streptococcal Infections; D015819:Substance Abuse, Intravenous / Q000150:complications; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery