Volume : V, Issue : IX, September - 2016

AN UNUSUAL CASE OF TRICUSPID VALVE INFECTIVE ENDOCARDITIS IN A NON IV DRUG ABUSER

Dr Anusha A Rao, Dr Ivor D Sa

Abstract :

 Endocarditis of right heart valves is unusual with more than 80% of Tricuspid valve endocarditis occurring in drug addicts. We report a case of an 18–year–old male who presented with fever of 2 weeks duration following a deep lacerated wound of the left foot. Patient also complained of chest discomfort and easy fatigability. On examination, a non healing ulcer in the medial aspect of left foot, marfanoid habitus was present along with Grade 4/6 Pansysytolic murmur in mitral area. ECHO showed Mitral valve prolapse–Anterior Mitral Leaflet prolapse, mild mitral regurgitation, mild tricuspid regurgitation with suspicion of vegetation in the atrial side of tricuspid valve. Transesophageal echocardiography confirmed the vegetation. However, blood cultures (3 samples) and pus culture showed no growth, probably because the patient had been taking oral antibiotics. The diagnosis of Marfan syndrome was confirmed considering the following criteria: pectus excavatum, high arched palate, arm span / height = 1.069, Upper segment/ lower segment = 0.68 and mitral valve prolapse with mitral regurgitation. Patient was treated with I.V Antibiotics for 4 weeks. On follow up, echo showed resolving vegetation with a trivial tricuspid regurgitation. We conclude that tricuspid valve endocarditis should be considered in patients with persistent fever during the course of treatment of extra cardiac septic focus.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr ANUSHA A RAO, DR IVOR DÂ¥SA AN UNUSUAL CASE OF TRICUSPID VALVE INFECTIVE ENDOCARDITIS IN A NON IV DRUG ABUSER International Journal of Scientific Research,Volume : 5 | Issue : 9 |September 2016

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