A case of isolated tricuspid valve infective endocarditis caused by Abiotrophia defectiva.
A 17-year-old man with a history of dental caries was admitted to our hospital because of 1-week high fever. There was no history of previous cardiac disease. He denied drug abuse. Blood culture was positive for Abiotrophia defectiva. Echocardiography demonstrated large vegetation attached to the anterior cusp of the tricuspid valve with moderate regurgitation. Although he was treated with antibiotics for more than 3 weeks, he had chest pain due to septic pulmonary emboli on chest computed tomography. Surgical resection of the vegetation was performed. The postoperative course was uneventful and he is doing well at the time of follow-up.
Takayama
Reiko
R
Motoyasu
Munenobu
M
Seko
Tetsuya
T
Kuroda
Kenji
K
Yamanaka
Takashi
T
Obe
Toshihide
T
Yada
Takashi
T
Konishi
Tokuji
T
Fujinaga
Kazuya
K
Kondoh
Chiaki
C
Mizutani
Tetsuo
T
D000293:Adolescent; D000890:Anti-Infective Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D016908:Gram-Positive Bacterial Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000209:etiology / Q000601:surgery; D013289:Streptococcaceae / Q000302:isolation & purification*; D014261:Tricuspid Valve
D000890:Anti-Infective Agents