| 000 | 02676nam a22003977a 4500 | ||
|---|---|---|---|
| 008 | 190314s20152015 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a2000-9666 | ||
| 024 | _a10.3402/jchimp.v5.29647 [doi] | ||
| 024 | _a29647 [pii] | ||
| 024 | _aPMC4677583 [pmc] | ||
| 040 | _aOvid MEDLINE(R) | ||
| 099 | _a26653697 | ||
| 245 | _aIsolated pulmonic valve endocarditis presenting as neck pain. | ||
| 251 | _aJournal of Community Hospital Internal Medicine Perspectives. 5(6):29647, 2015. | ||
| 252 | _aJ Community Hosp Intern Med Perspect. 5(6):29647, 2015. | ||
| 253 | _aJournal of community hospital internal medicine perspectives | ||
| 260 | _c2015 | ||
| 260 | _fFY2016 | ||
| 265 | _sepublish | ||
| 266 | _d2019-03-14 | ||
| 520 | _aWe discuss a unique case of a 52-year-old man with no history of intravenous drug use or dental procedures who presented with neck pain, 2 weeks of fevers, chills, night sweats, cough, and dyspnea found to have isolated pulmonic valve (PV) endocarditis. The patient did not have an associated murmur, which is commonly seen in right-sided infectious endocarditis. A transthoracic echocardiogram showed a thickened PV leaflet, with subsequent transesophageal echocardiogram showing a PV mass. Speciation of blood cultures revealed Streptococcus oralis. In right-sided infective endocarditis, usually the tricuspid valve is involved; however, in our case the tricuspid valve was free of any mass or vegetation. The patient did meet Duke criteria and was thus started on long-term intravenous antibiotics for infectious endocarditis. The patient's symptoms quickly improved with antibiotics. A careful history and evaluating the patient's risk factors are key in earlier detection of infective endocarditis (IE). Because of early detection and a high index of suspicion, the patient had no further complications and did not require any surgery. In conclusion, clinical suspicion of right-sided IE should be high in patients who present with persistent fevers and pulmonary symptoms in order to reduce the risk of complications, and to improve outcomes. | ||
| 546 | _aEnglish | ||
| 650 | _aPubMed-not-MEDLINE -- Not indexed | ||
| 651 | _aMedstar Franklin Square Medical Center | ||
| 651 | _aMedStar Washington Hospital Center | ||
| 656 | _aCardiology | ||
| 656 | _aMedicine | ||
| 657 | _aCase Reports | ||
| 700 | _aAbdelqader, Abdelhai | ||
| 700 | _aDahagam, Chanukya R | ||
| 700 | _aGoud, Aditya | ||
| 700 | _aPadmanabhan, Sriram | ||
| 790 | _aAbdelqader A, Dahagam C, Goud A, Padmanabhan S | ||
| 856 |
_uhttps://dx.doi.org/10.3402/jchimp.v5.29647 _zhttps://dx.doi.org/10.3402/jchimp.v5.29647 |
||
| 942 |
_cART _dArticle |
||
| 999 |
_c4127 _d4127 |
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