title: A rare case of community-acquired native quadruple-valve endocarditis.
abstract: We report the case of a male patient with community-acquired quadruple-valve endocarditis on presumed normal native valves. This patient had originally presented elsewhere with generalized edema and malaise and had been diagnosed with suspicious endocarditis and renal dysfunction, for which he unfortunately received incomplete treatment. Transthoracic and transesophageal echocardiographic examinations confirmed quadruple-valve endocarditis and ventricular septal defect.
authors.affiliation: Department of Echocardiography, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran.
authors.forename: Zahra Ojaghi
authors.initials: ZO
authors.lastname: Haghighi
authors.affiliation: Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
authors.forename: Marzieh
authors.initials: M
authors.lastname: Nikparvar
authors.affiliation: Cardiovascular Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Azin
authors.initials: A
authors.lastname: Alizadehasl
authors.affiliation: Department of Echocardiography, Shariati Hospital, Tehran, Iran.
authors.forename: Atoosa
authors.initials: A
authors.lastname: Mostafavi
keywords: Echocardiography; endocarditis; multi-valvular