A 61-year-old man with no known cardiac history presented with septic arthritis of the right knee secondary to group B Streptococcus. During follow-up, echocardiography revealed a 1.8 cm x 1.2 cm mobile vegetation on the pulmonary valve. Despite parenteral antimicrobial therapy, the patient developed recurrent pulmonary emboli with enlargement of the vegetative mass, necessitating surgical debridement and replacement of the pulmonary valve. A diagnosis of pulmonic valve endocarditis should be considered in the differential diagnosis of any febrile patient with multiple pulmonary emboli.
Isolated pulmonic valve endocarditis / Parato, Vitomaurizio; Di Geso, Luca; Pelliccioni, Simona; Parato, Andreagiovanni; Di Eusanio, Marco. - In: JOURNAL OF CARDIOVASCULAR ECHOGRAPHY. - ISSN 2211-4122. - 32:2(2022). [10.4103/jcecho.jcecho_75_21]
Isolated pulmonic valve endocarditis
Di Geso, Luca;Di Eusanio, Marco
2022-01-01
Abstract
A 61-year-old man with no known cardiac history presented with septic arthritis of the right knee secondary to group B Streptococcus. During follow-up, echocardiography revealed a 1.8 cm x 1.2 cm mobile vegetation on the pulmonary valve. Despite parenteral antimicrobial therapy, the patient developed recurrent pulmonary emboli with enlargement of the vegetative mass, necessitating surgical debridement and replacement of the pulmonary valve. A diagnosis of pulmonic valve endocarditis should be considered in the differential diagnosis of any febrile patient with multiple pulmonary emboli.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.