title: A young man with chest pain and fever.
abstract: A young man with an unremarkable medical history was diagnosed with meningococcal endocarditis and was treated with penicillin and gentamycin. Further history was complicated by a fistulisation between the left ventricle and right atrium and aortic and tricuspid valve insufficiency. Aortic valve replacement, correction of the fistulisation and annuloplasty of the tricuspid valve were performed with good results. A search of the literature revealed only ten cases of meningococcal endocarditis without any report concerning the tricuspid valve.
authors.affiliation: Dept. of Cardiology, ZNA Stuivenberg, Lange Beeldekensstraat 267, 2018 Antwerp, Belgium. sannevellinga@hotmail.com
authors.forename: Sanne
authors.initials: S
authors.lastname: Vellinga
authors.forename: Philippe
authors.initials: P
authors.lastname: Timmermans
authors.forename: Bart
authors.initials: B
authors.lastname: Wollaert
mesh_terms: D001022:Aortic Valve Insufficiency / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000473:pathology*; D005402:Fistula / Q000209:etiology; D006325:Heart Atria; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008589:Meningococcal Infections / Q000473:pathology*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology*; D055815:Young Adult