Mathura K C, Thapa N, Rauniyar A, Magar A, Gurubacharya D L, Karki D B
Department of Medicine, Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2005 Jan-Mar;3(1):84-6.
Tricuspid valve endocarditis is more common in injection drug users. Pulmonary valve and Eustachian valve endocarditis have been reported but are very rare. Earlier reports of endocarditis in injection drug users emphasized the dominance of right sided involvement. In a series of 105 patients 86 % were right sided and 14 % had left sided involvement. We report a case of isolated tricuspid valve endocarditis in an injection drug user affecting a structurally normal heart and review of the literature on this subject. Key Words: injection drug use, tricuspid valve endocarditis.
三尖瓣心内膜炎在注射吸毒者中更为常见。肺动脉瓣和欧氏瓣心内膜炎虽有报道,但极为罕见。早期关于注射吸毒者心内膜炎的报告强调右侧受累占主导。在一组105例患者中,86%为右侧受累,14%为左侧受累。我们报告一例注射吸毒者孤立性三尖瓣心内膜炎病例,该病例累及结构正常的心脏,并对该主题的文献进行综述。关键词:注射吸毒、三尖瓣心内膜炎