PT  - JOURNAL ARTICLE
AU  - Marylou Fenech
AU  - Thelma Xerri
AU  - Paula Grech
AU  - Anette Portelli
TI  - <em>Neisseria gonorrhoeae</em> infective endocarditis
AID  - 10.1136/bcr-2022-249723
DP  - 2022 May 01
TA  - BMJ Case Reports
PG  - e249723
VI  - 15
IP  - 5
4099  - http://casereports.bmj.com/content/15/5/e249723.short
4100  - http://casereports.bmj.com/content/15/5/e249723.full
SO  - BMJ Case Reports2022 May 01; 15
AB  - We present a case of endocarditis secondary to disseminated Neisseria gonorrhoeae infection affecting the native tricuspid valve. After a thorough workup, our patient was treated conservatively with appropriate intravenous antibiotic therapy for 6 weeks. A follow-up echocardiogram showed resolution of the vegetation without any residual valvular involvement. Literature review reveals 99 cases of infective endocarditis which occurred secondary to N. gonorrhoeae infection, of which, only 4 cases (6%) affected the tricuspid valve. Through this case report, we highlight the importance of thorough history taking including a sexual and social history, as well as careful recognition of the clinical signs, which helped us reach this uncommon diagnosis while always maintaining a high clinical suspicion of rare causes of endocarditis.