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  • Title: [Pneumococcal tricuspid valve endocarditis].
    Author: Rasmussen S, Talleruphuus U, Wandall JH.
    Journal: Ugeskr Laeger; 1995 Dec 11; 157(50):7014-5. PubMed ID: 8545921.
    Abstract:
    Endocarditis caused by pneumococci is a rare disease and cases that only affect the tricuspid valve represent less than 1% of all cases of endocarditis. A case presenting with a primary pneumonia and septicaemia is described. Due to persistent fever and the occurrence of a cardiac murmur echocardiography was done and demonstrated vegetations on the tricuspid valve. The course was complicated with septic pulmonary emboli before the patient recovered. Endocarditis with pneumococci may occur as a complication to a primary pneumonia and underestimation of the frequency with which it occurs is a possibility. Attention should be paid to patients with a primary pneumonia who do not respond to the initial treatment and to those who after an initial response show recurrent fever.
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