title: Late recurrence of pulmonic valve endocarditis in an adult patient with ventricular septal defect: a case report.
abstract: A 54-year-old female patient with a congenital ventricular septal defect (VSD) was admitted to the authors' hospital for an investigation of mild fever of four months' duration. Her history revealed pulmonary valve endocarditis contracted 18 years previously. Echocardiography revealed an echogenic mobile mass on the pulmonic valve that caused mild regurgitation, while blood cultures were positive for Streptococcus viridans. The patient was administered ceftriaxone and gentamycin, and had an uneventful clinical course. She was advised to undergo surgical closure of the VSD in order to avoid any recurrence of endocarditis.
authors.affiliation: Department of Cardiology, University of Athens Medical School, Laiko General Hospital, Athens, Greece.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Moyssakis
authors.forename: Anastasios
authors.initials: A
authors.lastname: Kazazis
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Lionakis
authors.forename: Ioannis
authors.initials: I
authors.lastname: Vlahodimitris
authors.forename: George
authors.initials: G
authors.lastname: Petrikos
authors.forename: Vassilios
authors.initials: V
authors.lastname: Votteas
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002443:Ceftriaxone / Q000627:therapeutic use; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications / Q000000981:diagnostic imaging / Q000382:microbiology*; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006345:Heart Septal Defects, Ventricular / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D011664:Pulmonary Valve / Q000000981:diagnostic imaging / Q000382:microbiology*; D012008:Recurrence; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D034363:Viridans Streptococci / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D002443:Ceftriaxone