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Isolated tricuspid valve endocarditis in immunocompetent juvenile patients: a series of three cases
  1. Atanu Chandra1,
  2. Shrestha Ghosh1,
  3. Uddalak Chakraborty2 and
  4. Debojyoti Ray1
  1. 1Internal Medicine, RG Kar Medical College and Hospital, Kolkata, West Bengal, India
  2. 2Neurology, Institute of Postgraduate Medical Education and Research Bangur Institute of Neurology, Kolkata, India
  1. Correspondence to Dr Atanu Chandra; chandraatanu123{at}


Right-sided native valve infective endocarditis is common in patients with congenital or valvular heart disease, intracardiac device, central venous catheter and intravenous drug abuse, usually manifesting in adulthood. However, in the absence of predisposing risk factors and in younger age groups, this disease may pose a diagnostic challenge. We report a case series of three juvenile patients with isolated tricuspid valve infective endocarditis without any risk factors and paucity of cardiovascular findings in two of them, in an attempt to highlight the importance of maintaining a high index of suspicion to arrive a timely diagnosis.

  • cardiovascular medicine
  • general practice / family medicine
  • infectious diseases

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  • Contributors SG and AC contributed to conception, initial drafting of manuscript, critical revision of content and final approval of manuscript. AC, UC and DR contributed to patient management, conception, critical revision of content and final approval of manuscript. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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