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  • Isolated tricuspid valve Group B Streptococcal endocarditis with septic pulmonary embolism and multiple mycotic aneurysms of the pulmonary arteries

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Case Reports: Unusual association of diseases/symptoms
Isolated tricuspid valve Group B Streptococcal endocarditis with septic pulmonary embolism and multiple mycotic aneurysms of the pulmonary arteries
  1. Bryan Paul Ramirez1,
  2. Julian Alexander Huibonhoa1,
  3. Felix Eduardo Punzalan1 and
  4. Jr. Benjamin Francis, Rodriguez2
  1. 1 Philippine General Hospital, Department of Medicine, Division of Cardiovascular Medicine, University of the Philippines Manila, Manila, Metro Manila, Philippines
  2. 2 Philippine General Hospital, Department of Radiology, University of the Philippines Manila, Manila, Metro Manila, Philippines
  1. Correspondence to Dr Bryan Paul Ramirez; bryanpaulramirezmd{at}gmail.com

Abstract

A diabetic woman in her 30s was admitted to our medical centre for persistent fever associated with worsening cough, easy fatigability and pleuritic chest pain noted after childbirth. Investigations revealed an isolated tricuspid valve endocarditis from Group B Streptococcus. Despite appropriate antibiotic coverage, her symptoms persisted with worsening dyspnoea; hence, a CT pulmonary angiogram was done which showed septic pulmonary embolism and multiple mycotic aneurysms of the pulmonary arteries. She was treated with antibiotics and underwent tricuspid valve replacement and was discharged well with a return to her baseline functional capacity on subsequent follow-ups.

  • Cardiovascular medicine
  • Valvar diseases
  • Heart failure
  • Infectious diseases

https://doi.org/10.1136/bcr-2023-254989

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    Footnotes

    • Contributors The following authors were responsible for the drafting of the text, sourcing, and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: Dr. Bryan Paul Ramirez - Primary author. Conception and analysis of case presentation and discussion, drafting and revision of majority of the contents of the manuscript, approval of versions from drafting until publication. Co-authors: Dr. Julian Huibonhoa - Conception and analysis of case presentation and discussion, gave critical revisions of manuscript content, approval of versions from drafting until publication. Dr. Felix Eduardo Punzalan- Conception and analysis of case presentation and discussion, gave critical revisions of manuscript content, approval of versions from drafting until publication. Dr. Benjamin Francisco Rodriguez - Conception and analysis of radiographic/clinical images and text, drafting and revision of descriptions of radiographic/clinical images, approval of versions from drafting until publication. The following authors gave final approval of the manuscript: Dr. Bryan Paul Ramirez, Dr. Julian Huibonhoa, Dr. Felix Eduardo Punzalan, and Dr. Benjamin Francisco Rodriguez.

    • 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.