Abstract
Presented is a case of a young, polytoxicomaniac male with a history of intravenous drug abuse. He arrived at our department in a septic state with fever and showed signs of right-sided decompensated cardiac insufficiency. The patient tested positive for hepatitis C, and blood cultures were positive for Staphylococcus aureus. A thoracic computed tomographic scan revealed bilateral, multiple septic pulmonary emboli. Transesophageal echocardiography disclosed large mobile vegetations on the tricuspid valve associated with severe regurgitation. The infected tricuspid valve was replaced with a mechanical heart valve, and the patient recovered uneventfully from surgery.
MeSH terms
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Adult
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Cardiac Surgical Procedures
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Echocardiography, Transesophageal
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Endocarditis, Bacterial / complications
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Endocarditis, Bacterial / diagnosis*
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Endocarditis, Bacterial / microbiology
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Endocarditis, Bacterial / surgery
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Heart Valve Prosthesis Implantation
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Hepatitis C / complications
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Humans
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Male
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Pulmonary Embolism / diagnosis*
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Pulmonary Embolism / etiology
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Pulmonary Embolism / pathology
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Risk Factors
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Staphylococcal Infections / complications
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Staphylococcal Infections / diagnosis*
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Staphylococcal Infections / surgery
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Staphylococcus aureus / isolation & purification*
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Substance Abuse, Intravenous / complications*
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Tomography, X-Ray Computed
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Treatment Outcome
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Tricuspid Valve / diagnostic imaging*
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Tricuspid Valve / pathology
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Tricuspid Valve / surgery
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Tricuspid Valve Insufficiency / complications
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Tricuspid Valve Insufficiency / diagnosis*
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Tricuspid Valve Insufficiency / surgery