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Isolated pulmonary valve endocarditis in a patient without structural heart disease or a history of intravenous drug use
  1. Thomas Whitehead1,
  2. Amber Moore2,
  3. Ashima Agarwal2 and
  4. Jennifer Appleby2
  1. 1A&E, Stoke Mandeville Hospital, Aylesbury, UK
  2. 2Buckinghamshire Healthcare NHS Trust, Aylesbury, UK
  1. Correspondence to Dr Thomas Whitehead; thomas.whitehead4{at}NHS.NET


We present a case of a febrile patient in his 70s who was found to have isolated native pulmonary valve vegetations on echocardiography, and Enterococcus faecalis on blood cultures. Of note, our patient had none of the typical risk factors associated with this rare form of endocarditis previously described in only a handful of case reports.

  • Cardiovascular medicine
  • Valvar diseases
  • Infectious diseases
  • Interventional cardiology
  • Clinical diagnostic tests

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: TW, AM, JA and AA. The following authors gave final approval of the manuscript: TW and AM as joint first authors.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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