Diagnosis of infective endocarditis with cardiac CT in an adult.

The diagnosis of infective endocarditis is based on modified Duke's criteria, which includes clinical, biological, and echocardiographic findings. However, computed tomography (CT) has not been mentioned as a diagnostic tool in the criteria. We report a case of infective endocarditis confirmed by cardiac CT in which we could identify vegetations and perivalvular abscess not on transthoracic echocardiography and transesophageal echocardiography. Cardiac CT was feasible imaging modality for evaluating and diagnosing infective endocarditis. Cardiac CT should be recommended in patients with clinical suspicion of infective endocarditis even when transthoracic echocardiography and transesophageal echocardiography is negative for infective endocarditis.