Share this page on LinkedIn
Share This Page on Google+
Share This Page on Twitter
tell someone about this page print this page
You are here: Contents > 2017 > Volume 26 Number 1 January 2017 > IMAGE OF THE MONTH > Image of the Month: Concomitant Tricuspid and Mitral Native Valve Infective Endocarditis

Image of the Month: Concomitant Tricuspid and Mitral Native Valve Infective Endocarditis

Su-Jin Jeong1, Sang-Hoon Seol2, Pil Sang Song2,3

1Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea
2Division of Cardiology, Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea
3Electronic correspondence: pssong73@gmail.com

A 33-year-old immunocompetent man was admitted to the authors’ hospital with a one-month duration of fevers, chills, and non-productive coughs, and suddenonset weakness and ischemic pain of both lower extremities. Physical examination revealed crepitating rales heard over bilateral lung fields. On auscultation, a grade 2~3/6 systolic murmur was heard over the leftlower sternal border and apical area. Transthoracic echocardiography revealed a mobile mass on the tricuspid valve compatible with vegetation, in addition to concomitant mitral valve vegetation (Video 1). Thoracic computed tomography (CT) with contrast revealed cavitary lesions of the left and right lung fields (Fig. 1A and B).


Abdominal CT showed a splenic infarction (Fig. 2A), a renal infarction (Fig. 2B), and thromboembolic occlusion of the distal aorta and right common iliac artery (Fig. 3). The patient denied any history of intravenous drug abuse. Blood cultures grew Streptococcus agalactiae (penicillin G-sensitive with a minimal inhibitory concentration ≤0.06 μg/ml).

Video 1: Transthoracic echocardiography showing mobile masses on tricuspid and mitral valves compatible with vegetation on the apical four-chamber view.

The Journal of Heart Valve Disease 2017;26: 122-123


Image of the Month: Concomitant Tricuspid and Mitral Native Valve Infective Endocarditis

Click the above hyperlink to view the article, right click (Ctrl click on a Mac) to open in a new browser window or tab.

Purchase this Article

This article doesn't appear to be availble for purchase as a single artilce. Please contact us for further information.