International Journal of Infectious Diseases
Volume 13, Issue 3 , Pages e109-e111, May 2009

Isolated tricuspid valve endocarditis

Infectious Diseases Department, Imam Reza Hospital, Mashad University of Medical Sciences, Mashad, Iran

Received 16 March 2008; received in revised form 16 June 2008; accepted 8 July 2008. published online 05 November 2008.

Corresponding Editor: William Cameron, Ottawa, Canada

Summary 

We present two non-HIV-infected patients with isolated native non-rheumatic tricuspid valve endocarditis who were not intravenous drug abusers. The patients presented with fever and chills. Plain radiography or high-resolution computed tomography of the chest revealed consolidation or infiltrate of the left parenchyma in both patients. Large vegetation located on the tricuspid leaflets was detected by transesophageal echocardiography. Staphylococcus aureus grew in two out of three blood cultures for one patient. Tricuspid valve endocarditis imitates illnesses with fever and pulmonary symptoms or signs of acute or chronic onset, and might be present even without abnormal chest X-rays or intravenous drug addiction.

Keywords: Tricuspid valve, Endocarditis, Intravenous drug use

 

PII: S1201-9712(08)01493-8

doi:10.1016/j.ijid.2008.07.018

International Journal of Infectious Diseases
Volume 13, Issue 3 , Pages e109-e111, May 2009