Isolated pulmonic valve infective endocarditis (PV-IE) is a rare form of endocarditis. The authors report a case of giant vegetations detected by transthoracic echocardiography (TTE) on PV in a young patient, 33-year-old, with drug abuse history. The patient underwent surgical intervention by pulmonary valved bioconduit implantation. After operation, a pulmonary embolism episode was treated by a direct oral anticoagulant. The final outcome was favorable. The difficulty in diagnosing PV-IE is due to the inability to properly visualize the PV by echocardiography. In this case, with such large vegetations, TTE allowed a correct diagnosis and an effective surgical planning, confirming its importance as a diagnostic tool.
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http://dx.doi.org/10.4103/jcecho.jcecho_75_21 | DOI Listing |
Cureus
October 2024
Department of Medicine, MetroWest Medical Center, Framingham, USA.
Clin Med Insights Case Rep
August 2024
Department of Internal Medicine, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Cureus
November 2023
Infectious Disease, Ascension Health, Grand Blanc, USA.
is a gram-positive, facultative intracellular coccobacilli that most commonly causes pulmonary infections in animals and, rarely, in immunocompromised humans. Infected patients typically experience severe pulmonic infections such as necrotizing or cavitary pneumonia. We describe a rare case of that was isolated from an empyema in a 66-year-old immunocompetent patient experiencing recurrent pleural effusions requiring multiple interventions.
View Article and Find Full Text PDFNatl Med J India
May 2023
Department of Cardiology, Indira Gandhi Medical College and Hospital, Shimla 171001, Himachal Pradesh, India.
Right-sided endocarditis is a rare entity, with various series reporting an incidence of 5%-10%. Pulmonary valve (PV) is not only the least commonly involved valve in infective endocarditis (IE), with an incidence of 1.5%-2%, but 'isolated' pulmonic valve endocarditis (PVE) without tricuspid valve involvement is even rarer with limited published data.
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