title: Pulmonic valve endocarditis with pulmonary artery endarteritis in a young man with congenital ventral septal defect.
abstract: BACKGROUND
  Isolated pulmonic valve endocarditis is a rare condition. The clinical and laboratory finding are not specific and experiences about that are limited. Most cases of that occur in children with congenital heart disease or in intravenous drug abusers and the main predisposing factor in adults is intravenous drug abuse. The most common pathogens are staphylococcus aurous and coagulase negative staphylococcus.
  
  
  METHODS
  In this case report we present a 27 years old man with chronic fever (4 months) and a history of congenital ventral septal defect (VSD). Echocardiography revealed the pulmonic valve and pulmonary artery vegetations. He referred for surgery after 3 weeks of intravenous antibiotic therapy.
  
  
  CONCLUSIONS
  Careful evaluation of pulmonic valve in echocardiography should be done, when ever vegetation is not detected in other valves, and clinical suspicion for infective endocarditis is high.
authors.affiliation: Associate Professor of Cardiology, Department of Echocardiography, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
authors.forename: Afsoon
authors.initials: A
authors.lastname: Fazlinezhad
authors.forename: Azadeh
authors.initials: A
authors.lastname: Fallah
authors.forename: Jamil
authors.initials: J
authors.lastname: Esfahanizadeh