Please use this identifier to cite or link to this item: https://hdl.handle.net/1/1465
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dc.contributor.authorBamford, Paul-
dc.contributor.authorSoni, Rajeev-
dc.contributor.authorKull, Anthony-
dc.contributor.otherBassin, L.-
dc.date.accessioned2019-06-14T03:06:00Zen
dc.date.available2019-06-14T03:06:00Zen
dc.date.issued2019-04-
dc.identifier.citation13(1):97en
dc.identifier.issn1752-1947en
dc.identifier.urihttps://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/1465en
dc.description.abstractBACKGROUND: Pulmonary valve infective endocarditis is a rare diagnosis that is usually associated with immunocompromised states or structurally abnormal hearts. It is unusual for it to occur in structurally normal hearts or to cause recurrent symptoms after targeted antibiotics. Although guidelines suggest follow-up with repeat echocardiography and inflammatory marker surveillance, this case demonstrates that these are not always useful investigations, and instead imaging of the chest may be more appropriate. CASE PRESENTATION: We describe a case of a 74-year-old man who presented with respiratory symptoms and was originally misdiagnosed with pneumonia but later found to have a large pulmonary valve vegetation caused by Streptococcus mitis. Despite initially responding to antibiotic therapy, the vegetation continued to cause pulmonary emboli and cavitating lung abscesses months later, necessitating pulmonary valve replacement. CONCLUSIONS: This case demonstrates that pulmonary valve endocarditis can present atypically with recurrent respiratory symptoms, and in such cases, echocardiography should be considered to investigate for right-sided infective endocarditis. In addition, despite correct treatment, with normalization of inflammatory markers and improvement in vegetation size, infective endocarditis can continue to cause systemic symptoms. Finally, clinicians should consider chest computed tomography routinely as part of right-sided infective endocarditis follow-up.en
dc.description.sponsorshipCardiologyen
dc.description.sponsorshipRespiratory Medicineen
dc.subjectCardiologyen
dc.subjectInfectionen
dc.titleDelayed diagnosis of right-sided valve endocarditis causing recurrent pulmonary abscesses: a case reporten
dc.typeJournal Articleen
dc.identifier.doi10.1186/s13256-019-2034-7en
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/30999926en
dc.description.affiliatesCentral Coast Local Health Districten
dc.description.affiliatesGosford Hospitalen
dc.description.affiliatesThe University of Newcastleen
dc.identifier.journaltitleJournal of Medical Case Reportsen
dc.type.studyortrialCase Series and Case Reportsen
dc.originaltypeTexten
item.openairetypeJournal Article-
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.fulltextNo Fulltext-
Appears in Collections:Cardiology
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