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A case report: Infective endocarditis with a vegetation in the tricuspid valve, complicated by lung abscess


, : A case report: Infective endocarditis with a vegetation in the tricuspid valve, complicated by lung abscess. Nihon University Journal of Medicine 43(2): 115-125, April

Infective endocarditis involving the tricuspid valve alone is rare in Japan. It is predominantly a disease of intravenous drug abusers, congenital heart disease and foreign body insertion (e.g. pacemaker implantation). This disease has been reported to occur extreme rarely in healthy adults. A 35-year-old man had been admitted to another hospital 5 weeks previously with fever, cough and bloody sputum. An antipyretic agent was prescribed at a local clinic, but did not relieve these symptoms. Thoracic computed tomography (CT) disclosed multiple infiltrative shadows, suggesting lung abscess. Simultaneously, a blood culture grew Staphylococcus aureus, and the patient was treated with antibiotics. His condition did not improve, and he was therefore referred to our hospital. Echocardiography revealed a vegetation in the tricuspid valve, suggesting infective endocarditis. He was diagnosed as having lung abscess caused by this disease. Combination therapy with panipenem (PAPM) and fosfomycin (FOM) was started. The patient became negative for CRP at 43 days after admission, at which time the vegetation was markedly reduced. The cause of the infection was not clarified. Multiple lung abscess lesions concurrently developed, and the persistent vegetation, tricuspid perforation and tricuspid regurgitation were noted even after antibiotic therapy resulting in CRP-negative findings. Tricuspid plasty was therefore performed.

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Other references

Zagger Glenn W., 1997: Geochemical analogs of hydrocarbon reservoirs in the Appalachian and Illinois Basin. Near surface direct and indirect geochemical survey methods can be used to detect hydrocarbon occurrence in a variety of settings. Analog surveys have been conducted over producing wells in the Appalachian and Illinois Basins. These near surface s...

Krautwald, A.; Beyermann, M.; Wendler, J., 1959: The value of bromsulphalein clearance for the evaluation of liver diseases in comparison with the results of electrophoresis, blood iron and prothrombin determinations. Munchener Medizinische Wochenschrift 101: 2057-2061

Cunningham, E., 2008: Where can I find information regarding the potassium and phosphorus content of foods?. The purpose of this study was to determine whether food consumed by children while in center-based child care meets the new MyPyramid food group recommendations for children 2 to 5 years of age. Dietary observation of 117 children from 20 child-ca...

Jones, A.K.; Johnson, M.S.; Bell, R.M., 1981: The movement of metals in reclaimed metal contaminated land. Investigations on the bioavailability of metals in a range of contaminated materials and the effects of a topsoil covering on metal absorption by plants are described. Further investigations into the effectiveness of a variety of barrier layer mat...

Garcin, Béatrice.; Louissaint, T.; Hosseini, H.; Blanc, Rël.; Fénelon, G., 2008: Reversible chorea in association with Graves' disease and moyamoya syndrome. Movement Disorders 23(4): 620-622

Cohen, P., 1995: Pay. Dicing with death. Health Visitor 68(5): 177-177

Gembitskii, E.V., 1958: Result of the medical use of hypnosis in internal diseases. Sovetskaia Meditsina 22(1): 69-74

Townsend C.R., 1991: Community organization in marine and freshwater environments. Barnes, R S K And K H Mann (Ed ) Fundamentals Of Aquatic Ecology Vii+270p Blackwell Scientific Publications: Oxford, England, Uk; Cambridge, Massachusetts, Usa Illus Maps Paper 125-144

Zayani A.; Chaabouni M.; Gouiaa R.; Ben Hadj Hamida F.; Fki J., 1989: Conjunctival myiasis about 23 cases in the tunisian sahel. Conjunctival lesions of ocular myiasis are common in the mediterranean region. The authors report 23 cases of conjunctival myiasis. This affection is caused by fly's larvae: Oestrus ovis presenting typically with inflammed and oedematous eyes...

Krczal, G., 1990: Apple proliferation - a problem of increasing importance?. Apple proliferation, caused by a mycoplasma-like organism, had been considered to be of minor importance until an increased percentage of diseased trees was observed in the Vorderpfalz, German Federal Republic in the autumn of 1989 in several orch...