[A case of isolated tricuspid valve endocarditis caused by Campylobacter fetus].

Y Sasaki, S Suehiro, T Shibata, H Minamimura, H Kumano, H Kinoshita
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Abstract

We reported a rare case of isolated tricuspid valve endocarditis in a non-addict with no underlying cardiac disease. A 48-year-old man was presented with high fever and newly developed leg edema. The diagnosis of tricuspid endocarditis was established following detection of a large vegetation (3.0 cm) on the tricuspid valve on echocardiography. One blood culture showed positive for Campylobacter fetus. At operation, a large and a small vegetation were found attached to the anterior leaflet of the tricuspid valve, and the septal leaflet was also found to be involved by the infective endocarditis. These leaflets were therefore removed and the tricuspid valve was replaced with CarboMedics valve. He has remained free of endocarditis for nineteen months after surgery.

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【弯曲杆菌胎儿致孤立性三尖瓣心内膜炎1例】。
我们报告一个罕见的病例孤立三尖瓣心内膜炎在非成瘾无潜在的心脏疾病。男,48岁,高热,腿部水肿。超声心动图发现三尖瓣上有一个大的植被(3.0 cm),诊断为三尖瓣心内膜炎。一例胎儿弯曲杆菌血培养阳性。术中发现三尖瓣前叶有大、小植被附着,感染性心内膜炎也累及隔叶。因此,这些小叶被移除,三尖瓣被CarboMedics瓣膜取代。手术后19个月,他一直没有心内膜炎。
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