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Pan Afr Med J ; 25: 209, 2016.
Article in French | MEDLINE | ID: mdl-28270905

ABSTRACT

Right heart endocarditis mainly affects tricuspid valve, especially in drug users. Isolated pulmonary valve infection is rare. We here report the case of a 32-year old young woman whose diagnosis of community-acquired pulmonary valve endocarditis was confirmed. This study is even more interesting because pulmonary valve endocarditis has occurred in a patient without a history of drug addiction; nevertheless, it wasn't associated with restrictive interventricular communication. The patient underwent emergency surgery due to the visualization of large and mobile vegetation on transthoracic heart ultrasound. Surgery was carried out under extracorporeal circulation and pulmonary valve has been replaced with a bioprosthesis. Bloodcultures and valve culture showed methicillin-sensitive staphylococcus aureus. Postoperative evolution was favorable, with a follow-up of 06 months without recurring infections.


Subject(s)
Endocarditis, Bacterial/diagnosis , Heart Valve Diseases/diagnosis , Pulmonary Valve/pathology , Staphylococcal Infections/diagnosis , Acute Disease , Adult , Bioprosthesis , Endocarditis, Bacterial/microbiology , Endocarditis, Bacterial/surgery , Female , Follow-Up Studies , Heart Valve Diseases/microbiology , Heart Valve Diseases/surgery , Heart Valve Prosthesis Implantation/methods , Humans , Pulmonary Valve/microbiology , Staphylococcal Infections/microbiology , Staphylococcal Infections/surgery , Staphylococcus aureus/isolation & purification
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