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Abstract
Case Report
A Case of Tricuspid Valve Infective Endocarditis Presenting with Multiple Nodular Shadows in Both Lungs without Known Predisposing Factors
Shigeru Miyata1) Osamu Kitada1) Hitoshi Nakamura1) Kazumi Aragane1) Kozo Kuribayashi1) Takayuki Nakagomi1) Taku Okukubo1) Noriko Takenaka1) Shoko Jin1) Namiko Nagasawa1) Minoru Sugita2) Takashi Nakano1)
1)Department of Internal Medicine, Division of Respiratory Disease, 2)Medical Imaging Center, Hyogo College of Medicine
1-1 Mukogawa-cho, Nishinomiya, Hyogo, 663-8501, Japan
ABSTRACT
A 56-year-old woman was admitted to our hospital with fever, cough, and sputum production. Her chest radiograph and chest computed tomography showed multiple nodules. Laboratory findings revealed leukocytosis and an increased C-reactive protein concentration. Physical examination revealed a systolic murmur. Transesophageal echocardiography demonstrated a 1.5-cm area of vegetation on the tricuspid valve. Blood cultures grew Staphylococcus aureus. Tricuspid valve endocarditis and septic pulmonary embolism were diagnosed. She was treated successfully with intravenous ampicillin/sulbactam. This was a rare case of tricuspid valve infective endocarditis in an adult patient without known predisposing factors.
KEYWORDS
Infective endocarditis Tricuspid valve Multiple nodular shadows Predisposing factor Septic pulmonary embolism
Received 平成15年5月19日
JJRS, 42(2): 176-180, 2004
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