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November 2024 Br J Cardiol 2024;31(4) doi:10.5837/bjc.2024.049 Online First

Tricuspid valve endocarditis presenting as multifocal cavitating pneumonia

Arun Kumar Baral, Michael Connolly

Abstract

Introduction The tricuspid valve (TV) is involved in 90% of patients with right-sided endocarditis and is most common in people with intravenous drug use (IVDU). Septic pulmonary emboli occur in >50% of patients with TV involvement and manifests with various respiratory symptoms.1 Case report A 38-year-old man presented with a prodrome of flu-like illness along with night sweats, pleuritic chest pain and cough for two weeks unresponsive to the usual first- and second-line oral antibiotics (amoxicillin 1 g 8 hourly for five days, and doxycycline 100 mg 12 hourly for five days, respectively). There was no history of illicit IVDU or any condi

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