Pulmonary valve infective endocarditis with atrial septal defect and pulmonary valve disease—too coincidental to be true?

摘要

In this case we describe a 68-year-old male patient who presented with malaise after being treated for a urinary tract infection caused by enterococcus faecalis. The electrocardiogram showed atrial fibrillation and subsequent transthoracic echocardiography revealed a mobile structure on the pulmonary valve with an increased transpulmonary valve gradient (Fig. 1). Blood cultures were positive for enterococcus faecalis and PET-CT revealed F-18-fluorodeoxyglucose (FDG) uptake in the right ventricular outflow tract and lungs.