Infectious Diseases/ Haematology, Mater Dei Hospital, Msida, Malta
Infectious Diseases/ Haematology, Mater Dei Hospital, Msida, Malta.
BMJ Case Rep. 2022 May 10;15(5):e249723. doi: 10.1136/bcr-2022-249723.
We present a case of endocarditis secondary to disseminated infection affecting the native tricuspid valve. After a thorough workup, our patient was treated conservatively with appropriate intravenous antibiotic therapy for 6 weeks. A follow-up echocardiogram showed resolution of the vegetation without any residual valvular involvement. Literature review reveals 99 cases of infective endocarditis which occurred secondary to infection, of which, only 4 cases (6%) affected the tricuspid valve. Through this case report, we highlight the importance of thorough history taking including a sexual and social history, as well as careful recognition of the clinical signs, which helped us reach this uncommon diagnosis while always maintaining a high clinical suspicion of rare causes of endocarditis.
我们报告了一例继发于感染播散的感染性心内膜炎，影响到了原生三尖瓣。经过全面检查，我们的患者接受了 6 周的适当静脉抗生素治疗。随访超声心动图显示赘生物已消退，无任何残留瓣膜受累。文献回顾显示 99 例继发于感染的感染性心内膜炎，其中只有 4 例（6%）累及三尖瓣。通过这个病例报告，我们强调了详细病史采集的重要性，包括性病史和社会病史，以及仔细识别临床体征，这有助于我们在始终保持对罕见病因的心内膜炎高度临床怀疑的情况下，作出这一不常见的诊断。
