Abstract
We present a case of Staphylococcus aurous tricuspid valve endocarditis without any risk factors (intravenous drug users, with pacemaker or central venous lines and with congenital heart disease). Transthoracic echocardiography, as first line examination, showed the vegetations on tricuspid valve. In our case, the diagnosis and treatment of right-sided infective endocarditis without any inducement were extremely difficult. Therefore, once a patient comes out with fever, the blood culture remains positive for gram-positive bacterium, and the infectious location still unknown, then the infective endocarditis should be considered. In addition, surgical measure is also an important therapy for right-sided infective endocarditis.
Highlights
Portal of entry, implanted foreign material, and repaired congenital heart defects were the main risk factors of right-sided infective endocarditis and vegetation size on the right-sided valves was much smaller than those beyond the valves [1]
The patient got right-sided infectious endocarditis without any inducement, and the first echocardiogram was normal
As is well known to us, vancomycin is a standard medication for infectious endocarditic infected by Staphylococcus aureus [2]
Summary
Portal of entry, implanted foreign material, and repaired congenital heart defects were the main risk factors of right-sided infective endocarditis and vegetation size on the right-sided valves was much smaller than those beyond the valves [1]. There still exists some right heart endocarditis without any predisposing factors. We showed one case about tricuspid valve endocarditis without any obvious risk factors and this case treated with daptomycin. How to cite this paper: Chen, S.S., Yu, K.K., Ling, Q.X., Huang, C., Zheng, J.M., Cheng, Q., Zhu, M.Q., Li, N. and Chen, M.Q. (2014) One Case about the Diagnosis and Treatment of Right-Sided Infective Endocarditis without Any Inducement. Case Reports in Clinical Medicine, 3, 631-635.
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