[A case of tricuspid infective endocarditis in a drug addict].
This report describes a successful operative case of tricuspid infective endocarditis in a drug addict. A 24-year-old man with a history of drug addiction (6 months) complained of general fatigue and high fever. Echocardiography showed a large vegetation attached to the tricuspid valve and severe tricuspid regurgitation. Blood cultures revealed septicemia due to methicillin sensitive Staphylococcus aureus. He was treated for about 1 week with intravenous antibiotics. However, subsequent severe heart failure necessitated emergency operation. The tricuspid valve was replaced with Carpentier-Edwards bioprosthesis because of severe destruction of the tricuspid valve. The postoperative course was uneventful and he has remained free from endocarditis for 15 months after surgery.
Fukuhara
K
K
Second Department of Surgery, Osaka City University Medical School, Japan.
Suehiro
S
S
Shibata
T
T
Sasaki
Y
Y
Hosono
M
M
Fujii
H
H
Kinoshita
H
H
D000328:Adult; D001705:Bioprosthesis; D004630:Emergencies; D004697:Endocarditis, Bacterial / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000150:complications / Q000601:surgery*; D019966:Substance-Related Disorders; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery