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Infectious Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5265
ISSN (Online): 2212-3989

Case Report

Pulmonary Valve Endocarditis: A Case Report

Author(s): Mahboubeh Hajiabdolbaghi, Arsis Ahmadieh, SeyedAhmad SeyedAlinaghi and Maliheh Hassan Nezhad*

Volume 21 , Issue 6 , 2021

Published on: 03 December, 2020

Article ID: e170721188691 Pages: 5

DOI: 10.2174/1871526520999201203212135

Price: $65

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 devices 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 (pulmonary artery pressure of 50 mmHg) without pericardial effusion, was also reported in the Echocardiography. 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).

Keywords: Pulmonary valve, infective endocarditis, angiography, transesophageal echocardiography, vegetation, systolic dysfunction.

Graphical Abstract

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