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A Case of Tricuspid Valvular Infectious Endocarditis Complicated with Ventricular Septal Defect Yoshihiro Kimura 1 , Takeshi Tokuyama 1 , Mitsuru Konishi 1 , Koichi Maeda 1 , Shoji Takeuchi 1 , Kaoru Hamada 1 , Keiichi Mikasa 1 , Mikikazu Kunimatsu 1 , Masayoshi Sawaki 1 , Nobuhiro Narita 1 1The 2nd Department of Internal Medicine, Nara Medical University Keyword: 三尖弁 , 感染性心内膜炎 , 黄色ブドウ球菌 , tricuspid valve , infectious endocarditis , Staphylococcus aureus pp.1299-1302
Published Date 1996/12/15
DOI https://doi.org/10.11477/mf.1404901388
  • Abstract
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A 17-year-old female, in whom ventricular septal defect was noticed seven months after her birth, had not received medical treatment. She was admitted to our hospital with fever as her chief complaint. A chest roentgenogram showed normal on admission but Sta-phylococcus coccus was isolated from blood culture. In spite of the administration of PIPC (8g/day), her fever continued and a chest roentgenogram and chest comput-ed tomogram showed multiple small cavitations/due to septic emboli. An echocardiogram revealed the pres-ence of ventricular septal defect and vegetation on the tricuspid valve. As she was diagnosed as having infec-tious endocarditis, she was treated by IPM/CS (2g/day) and MINO (200mg/day). Her fever disappeared and her chest roentgenogram and echocardiogram improved after the administration of IPM/CS and MINO.

A case of infectious endocarditis, in which vegetation is present only on the tricuspid valve, is rare.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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