Isolated pulmonic valve endocarditis.
A 61-year-old man with no known cardiac history presented with septic arthritis of the right knee secondary to group B Streptococcus. During follow-up, echocardiography revealed a 1.8 cm x 1.2 cm mobile vegetation on the pulmonary valve. Despite parenteral antimicrobial therapy, the patient developed recurrent pulmonary emboli with enlargement of the vegetative mass, necessitating surgical debridement and replacement of the pulmonary valve. A diagnosis of pulmonic valve endocarditis should be considered in the differential diagnosis of any febrile patient with multiple pulmonary emboli.
Jassal
Davinder S
DS
Massachusetts General Hospital, Harvard Medical School, Boston, 02114, USA. umjassal@hotmail.com
Chiasson
Meredith
M
Rajda
Miroslav
M
Ostry
Avrum
A
Légaré
J F
JF
D001170:Arthritis, Infectious / Q000175:diagnosis; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000601:surgery; D006349:Heart Valve Diseases / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D011664:Pulmonary Valve; D013290:Streptococcal Infections / Q000175:diagnosis*; D013292:Streptococcus agalactiae