Isolated tricuspid valve endocarditis

Heydari, Ali Akbar; Safari, Hossein; Sarvghad, Mohammad Reza

doi:10.1016/j.ijid.2008.07.018

Cited by 29 publications

(34 citation statements)

References 10 publications

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“…It was disappointing but not unexpected that cultures of the valve scrapings were negative due to the long course of intravenous antibiotics that the patient had received prior to surgery. This case highlights that TVE is rarely considered in the differential diagnosis of a patient who is febrile who does not use intravenous drugs, however it is an important differential diagnosis that must never be forgotten, especially as this is not an exceptional case but rather emphasises, as reported by Heydari et al ,4 that isolated TVE continues to occur, eluding diagnosis and sometimes only discovered at autopsy.…”

Section: Discussionmentioning

confidence: 76%

Lost without Occam's razor: Escherichia coli tricuspid valve endocarditis in a non-intravenous drug user

Foley

Augustine²,

Bond³

et al. 2010

Case Reports

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SummaryThe unusual case of a 31-year-old woman who developed tricuspid valve endocarditis with positive blood cultures for Escherichia coli is presented. The patient had no underlying cardiac disease or predisposing conditions that could have made her susceptible to the native valve infection. Despite a lengthy course of intravenous antibiotics only a partial response was achieved. The patient underwent cardiac surgery and had a good postoperative recovery. BACKGROUND

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Section: Discussionmentioning

confidence: 76%

Lost without Occam's razor: Escherichia coli tricuspid valve endocarditis in a non-intravenous drug user

Foley

Augustine²,

Bond³

et al. 2010

Case Reports

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“…Some authors suggest that clinical suspicion of TVE should be raised in the presence of recurrent pulmonary events, anaemia and microscopic haematuria—the so-called tricuspid syndrome 1. Some patients, such as ours, present with constitutional features, namely debility, anaemia and weight loss, evoking a diagnostic work-up for tuberculosis and malignancy.…”

Section: Discussionmentioning

confidence: 91%

“…Right-sided infective endocarditis (IE) occurs mainly in intravenous drug users, in patients with cardiac devices implanted and in those with central venous lines or with congenital heart disease 1. Tricuspid valve endocarditis (TVE) is rarely considered in the differential diagnosis of a febrile patient who does not have those risk factors.…”

Section: Introductionmentioning

confidence: 99%

Keeping track of migratory pulmonary lesions

et al. 2014

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Tricuspid valve endocarditis (TVE) is rarely considered in the differential diagnosis of a febrile patient who does not use intravenous drugs.We describe the case of a 62-year-old male patient with a 3-month history of remittent fever and 13% weight loss. The patient denied intravenous drugs use or recent invasive procedures. His medical history included type 2 diabetes, alcohol abuse and smoking. Clinical evaluation revealed systemic inflammatory syndrome with unremarkable physical examination. Ancillary tests showed leucocytosis, thrombocytopenia and elevated C reactive protein. Empiric intravenous ceftriaxone was started, but after an initial improvement, fever relapsed 2 days after stopping antibiotherapy. A CT scan showed multiple disseminated lesions, suggesting lung metastatic tumour. Further studies excluded malignancy and revealed TVE caused by Streptococcus bovis with pulmonary embolism. The aim of our study is to stress the importance of evoking TVE in the differential diagnosis of fever with lung manifestations, and to highlight the possible association between S bovis, colorectal cancer and liver disease.

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“…[1] It is usually known to have a delayed diagnosis and sometimes only discovered at the autopsy like in this case. [3] This woman with septic arthritis was recovering after surgical drainage and intravenous antibiotics. She developed sudden onset of dyspnoea and central chest pain resulting in death within a short duration.…”

Section: Discussionmentioning

confidence: 99%

A case of sudden death due to septic pulmonary embolism

Kitulwatte¹,

Wijerathna²

2014

Medico-Legal J SL

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Introduction: Sudden deaths in hospital following a short duration of seemingly improving illness arouse suspicion of medical maltreatment. It is mandatory to have a medico-legal investigation in to such deaths. Facts, explanations, and opinions made by the forensic pathologists at the end of an autopsy examination are of crucial importance to eliminate or confirm such doubts. We report how a thorough autopsy examination including ancillary testing can lead to effective administration of justice in such cases.Case History: A 42 year woman with diabetes mellitus was admitted to hospital with fever and right knee joint swelling and tenderness of one week's duration. There was cellulitis over the right knee joint and underlying septic arthritis. Surgical drainage of the joint was done and intra venous antibiotics were given and the condition seemed to be improving. On the 4 th day of admission, she developed sudden onset of shortness of breath and central chest pain resulting in death 12 hours later. At autopsy she was pale and icteric. There was evidence of septic arthritis with surrounding necrotizing fasciitis and deep venous thrombosis of the right calf. There was consolidation of the right lung with patchy focal pale yellow areas with surrounding erythema, and evidence of multi-organ sepsis. Microscopy confirmed multi organ involvement and revealed pneumonia of the right lung with early abscess formation and multiple bilateral peripheral septic thrombo emboli. There was septic thrombosis of the calf veins with associated thrombo phlebitis. Conclusion:Facts revealed at autopsy explained the sudden death and the possibility of such death was scientifically clarified. The cause of death was concluded as septic pulmonary thrombo embolism due to deep venous septic thrombosis and thrombophlebitis due to septic arthritis and necrotizing fasciitis.

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Isolated tricuspid valve endocarditis

Cited by 29 publications

References 10 publications

Lost without Occam's razor: Escherichia coli tricuspid valve endocarditis in a non-intravenous drug user

Lost without Occam's razor: Escherichia coli tricuspid valve endocarditis in a non-intravenous drug user

Keeping track of migratory pulmonary lesions

A case of sudden death due to septic pulmonary embolism

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