Embolization of a huge tricuspid valve vegetation in a patient with intravenous drug abuse and HIV infection with an remarkable recovery.

We describe a patient with bacterial tricuspid valve endocarditis as a result of using intravenous drugs, and HIV infection. The course was complicated by embolisation of this huge vegetation; the follow-up was remarkable. Although this condition is life threatening, it was accompanied by a relatively slight derangement in the haemodynamic and respiratory condition of the patient. We describe the implications of intravenous drug use and HIV infection for the management of this condition.