Right sided acute infective endocarditis complicated by bilateral pyopneumothorax

The present case revealed that staphylococcus aureus is the cause of right sided infective endocarditis in a young male patient who was previously well with intact valves. It was complicated by pulmonary edema at the start of the disease then by pyopneumothorax bilaterally although patient was on proper antibiotics. The clinical and X-Ray findings were simulating those of tuberculosis [TB]. The emergency room's physician and medical officer on duty missed the diagnosis