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Published on: July 14, 2020
Neisseria gonorrhoeae infective endocarditis
Marylou Fenech1, Thelma Xerri2, Paula Grech2
1Infectious Diseases/ Haematology, Mater Dei Hospital, Msida, Malta marylou.fenech@gov.mt.
Abstract:
We present a case of endocarditis secondary to disseminated Neisseria gonorrhoeae infection affecting the native tricuspid valve. After a thorough workup, our patient was treated conservatively with appropriate intravenous antibiotic therapy for 6 weeks. A follow-up echocardiogram showed resolution of the vegetation without any residual valvular involvement. Literature review reveals 99 cases of infective endocarditis which occurred secondary to N. gonorrhoeae infection, of which, only 4 cases (6%) affected the tricuspid valve. Through this case report, we highlight the importance of thorough history taking including a sexual and social history, as well as careful recognition of the clinical signs, which helped us reach this uncommon diagnosis while always maintaining a high clinical suspicion of rare causes of endocarditis.
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