Tricuspid aseptic endocarditis revealing right endomyocardial fibrosis during an unrecognized Behçet's disease. A case report.
BACKGROUND
Aseptic endocarditis or/and endomyocardial fibrosis are rarely reported in Behçet's disease.


METHODS
We report on a case of a 21-year-old man living in Algeria, revealed by verrucous tricuspid valvulitis extending to the ventricular endomyocardium and complicated with right heart failure, initially misdiagnosed and treated as infective endocarditis occurring on rheumatic cardiac after-effects. DISCUSSION; We discuss the lack of specificity of Jones criteria and emphasize the need to include cardiac involvement in Behçet's disease in the differential diagnosis of rheumatic fever carditis. This message is notably important in some countries where the prevalence of these two entities are among the highest in the world.
Aouba
Achille
A
Department of internal medicine and rheumatology, Hôpital Européen Georges Pompidou, Paris (75). achille.aouba@wanadoo.fr
Nebie
Lucie
L
Fabiani
Jean-Noel
JN
Bruneval
Patrice
P
Patri
Blaise
B
De Bandt
Michel
M
D000328:Adult; D001528:Behcet Syndrome / Q000150:complications* / Q000175:diagnosis*; D004696:Endocarditis / Q000209:etiology*; D004719:Endomyocardial Fibrosis / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D012214:Rheumatic Heart Disease / Q000175:diagnosis* / Q000473:pathology; D014261:Tricuspid Valve / Q000473:pathology*; D018497:Ventricular Dysfunction, Right / Q000209:etiology