title: [Isolated primary streptococcal tricuspid endocarditis. A case report].
abstract: The authors report a new case of primitive isolated endocarditis of the tricuspid valve. The microorganism responsible, Streptococcus sanguis, is unusual in its localization and in this environment. The uncomplicated evolution poses the problem of deciding what action should be taken vis-à-vis the persistence of an important isolated vegetation after effective antibiotic treatment. Therapeutic abstention was chosen rather than surgical intervention in light of the literature. A spontaneous pulmonary embolic migration of the vegetation was effectuated 3 weeks after termination of the antibiotic treatment without pulmonary or hemodynamic complications.
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Desgenettes, 108, boulevard Pinel, 69275 Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Monnier
authors.forename: S
authors.initials: S
authors.lastname: Guérard
authors.forename: J R
authors.initials: JR
authors.lastname: Caignault
authors.forename: P
authors.initials: P
authors.lastname: Godon
authors.forename: J P
authors.initials: JP
authors.lastname: Van de Walle
authors.forename: R
authors.initials: R
authors.lastname: Brion
mesh_terms: D004697:Endocarditis, Bacterial / Q000175:diagnosis*; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000175:diagnosis*; D014261:Tricuspid Valve