Isolated pulmonary valve endocarditis masquerading as community-acquired pneumonia.
Isolated pulmonary valve endocarditis in intravenous drug users is a rarely reported phenomenon. We present the case of a 25-year-old male with history of intravenous drug use who presented with respiratory symptoms after failing outpatient treatment for community-acquired pneumonia. Further investigations identified multiple lung lesions with early cavitation, concerning for septic pulmonary embolism on computerized tomography scan, positive blood cultures with methicillin-susceptiblestaphylococcus aureus, and isolated vegetation of the pulmonic valve on transthoracic echocardiography. The patient had a complete recovery after being treated medically with intravenous oxacillin for a total of 6 weeks.
Department of Medicine, Reading Hospital and Medical Center, PA, USA; Salik.nazir@readinghealth.org.
Salik
S
Nazir
Department of Medicine, Reading Hospital and Medical Center, PA, USA.
Saroj
S
Lohani
Department of Medicine, Reading Hospital and Medical Center, PA, USA.
Niranjan
N
Tachamo
Department of Medicine, South City Hospital, Karachi, Pakistan.
Anam
A
Siddiqui
Department of Infectious Diseases, Reading Hospital and Medical Centre, PA, USA.
Nitin
N
Patel
bacterial endocarditis; native pulmonary valve; staphylococcus aureus