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- Norihisa Miyawaki, Taiji Okada, Tadaaki Koyama, and Yutaka Furukawa.
- Department of Cardiovascular Medicine, Kobe City Medical Center General Hospital, Japan.
- Intern. Med. 2022 Nov 15; 61 (22): 337333763373-3376.
AbstractTo our knowledge, there have been no reports of right-sided infective endocarditis (RSIE) with ventricular free wall vegetation caused by Abiotrophia defectiva. We herein report a case of RSIE caused by A. defectiva with ventricular free wall vegetation in a 27-year-old man with ventricular septal defect (VSD). Computed tomography showed multiple bilateral pulmonary nodular shadows. Transesophageal echocardiography (TEE) demonstrated right ventricular free wall vegetation at the jet stream. Blood culture revealed A. defectiva. These findings are consistent with a diagnosis of infective endocarditis and septic pulmonary embolism. Treatment with ceftriaxone and gentamicin and subsequent surgical VSD closure improved the patient's condition without recurrence.
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