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  • Title: Left-sided endocarditis in intravenous drug users: a case report and review of the literature.
    Author: Seghatol F, Grinberg I.
    Journal: Echocardiography; 2002 Aug; 19(6):509-11. PubMed ID: 12356347.
    Abstract:
    We report a case of staphylococcus endocarditis of the mitral and aortic valves in an intravenous drug user (IVDU) complicated by abscess of the aortic root and aorto-left atrial fistula. Interestingly, the tricuspid valve was free of vegetation. Infective endocarditis in IVDUs more commonly involves right-sided valves; left-sided endocarditis is rare, indicates severe disease, or is a postmortem finding. This case illustrates the need for considering left-sided valve endocarditis in IVDU with septicemia, even if the tricuspid valve shows no evidence of vegetation.
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