![](https://d3ilqtpdwi981i.cloudfront.net/RUHW1SPUC5hBzb1lvy-tisdYNsY=/425x550/smart/https://bepress-attached-resources.s3.amazonaws.com/uploads/84/dd/46/84dd468a-5c36-4d1a-9b30-ed9677d71a16/thumbnail_49f09356-8beb-4953-aa97-eb9c2a11bfa0.jpg)
- Cardiology and
- Surgery
Abstract
Endocarditis is characterized by vegetations, which is a mass of platelets, fibrin, micro-colonies of micro-organisms, and inflammatory cells, in the endocardium. Over the past three decades, the incidence of right-sided endocarditis has risen dramatically in Pakistan. We report a 36-year woman with a history of repeated intravenous analgesic injections for low back pain, presenting with high grade fever, sepsis and a white cell count of 44,000 with 90% neutrophils. Echocardiography showed large mobile vegetations on TricuspidValve (TV). Tricuspid Valve Endocarditis (TVE) is generally responsive to medical treatment; however, about 25% of TVE patients require surgical intervention. Long-term survival of a patient is possible without a prosthetic TV replacement, particularly if the pulmonary artery pressure is normal.
Available at: http://works.bepress.com/saulat_fatimi/16/