Infective endocarditis (IE) usually involves the left-sided valves, and IE involving the tricuspid valve (TV) is rare, often developing in intravenous drug users (IDU). We present a case of a 32-year-old male, an intravenous drug abuser (IDA), who presented with nonspecific septic symptoms, and was treated with TV conserving surgery. Pathological examination confirmed tissue destruction, friable thrombotic vegetations, and microorganisms in the leaflet tissue.
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