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- Title
Pulmonic Valve Repair in a Patient with Isolated Pulmonic Valve Endocarditis and Sickle Cell Disease.
- Authors
Glew, Timothy; Feliciano, Migdalia; Finkielstein, Dennis; Hecht, Susan; Hoffman, Daryl
- Abstract
A 49-year-old woman with sickle cell disease presented with one month of exertional dyspnea, weakness, and fever and was diagnosed with isolated pulmonic valve endocarditis secondary to methicillin-resistant Staphylococcus bacteremia in the setting of a peripherally inserted central venous catheter. Chest computerized tomography showed multiple bilateral pulmonary nodular opacities consistent with septic emboli. Transthoracic and transesophageal echocardiograms revealed a large echodensity on the pulmonic valve requiring vegetation excision and pulmonic valve repair. In conclusion, isolated pulmonic valve endocarditis is a rare cause of infective endocarditis that warrants a high index of clinical suspicion. Furthermore the management of patients with sickle cell disease and endocarditis requires special consideration.
- Subjects
ENDOCARDIUM diseases; SICKLE cell anemia; CLINICAL trials; ENDOCARDITIS; COMPUTED tomography
- Publication
Case Reports in Cardiology, 2015, Vol 2015, p1
- ISSN
2090-6404
- Publication type
Case Study
- DOI
10.1155/2015/732073