Pulmonary Valve Endocarditis: A Case Report Publisher Pubmed



Hajiabdolbaghi M¹ ; Ahmadieh A² ; Seyedalinaghi S² ; Nezhad MH² Show Affiliations
Source: Infectious Disorders - Drug Targets Published:2021

Abstract

Background: Isolated pulmonary valve endocarditis (PVE) is an extremely uncommon clinical finding comprising less than 1.5-2% of cases for infective endocarditis. It is a challenging condition to diagnose mainly because of nonspecific signs and symptoms at presentation. Case Presentation: A 58-year-old married and retired man was admitted to a community hospital for evaluation of chest pain. Transesophageal echocardiography (TEE), 2 days after, revealed semi-mobile vegetation on the pulmonary valve and pulmonary artery wall. Moreover, occlude de-vices at the root of the aorta, and the pulmonary artery was seen. Left ventricular ejection fraction (LVEF) with systolic dysfunction, mild aortic insufficiency (AI), mild tricuspid regurgitation (pul-monary artery pressure of 50 mmHg) without pericardial effusion, was also reported in the Echocar-diography. Blood cultures, viral markers, and Brucella IgG and IgM titration were negative during the admission. The patient received a 4-week course of intravenous antibiotic therapy, including Ceftriaxone and Teicoplanin (Targocid). © 2021 Bentham Science Publishers.