Isolated gonococcal pulmonary valve endocarditis: diagnosis by echocardiography

Circulation
B S DzindzioA D Forker

Abstract

The perplexing clinical course of a 23-year-old black male with isolated gonococcal pulmonary valvular endocarditis is presented. M-mode echocardiography provided the first clue to the presence of pulmonary valvular vegetations and the proper diagnosis. Since Neisseria gonorrhea appears to have a particular affinity for the pulmonary valve, the presence of isolated pulmonary valvular endocarditis should raise the strong possibility that Neisseria gonorrhea is the offending organism. This case report of pulmonary valvular vegetations detected by echocardiography strongly emphasizes that all four cardiac valves must be visualized in order to rule out the presence of echocardiographically detectable valvular vegetations.

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Nov 1, 1984·The American Journal of Cardiology·A K BrownL Gillgren
Mar 1, 1982·British Heart Journal·B DanderA Poppi
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Related Concepts

2D Echocardiography
Bacterial Endocarditis
Neisseria gonorrhoeae
Pulmonary Valve Structure

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