Sapana Yonghang, Mitesh Karn, Ana Maritza Marulanda Prado, Ronny Cohen
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Recurrent isolated pulmonic valve infective endocarditis in a patient on chronic haemodialysis due to reinfection: description of an index case and management considerations.
Background: Right-sided infective endocarditis is uncommon, and isolated pulmonic valve infective endocarditis (PVIE) is rare. Chronic haemodialysis is a risk factor for developing infective endocarditis. but recurrent PVIE in this population is not well described.
Case summary: A 32-year-old male with end-stage renal disease on chronic haemodialysis and diagnosed with PVIE 6 months back due to Staphylococcus epidermidis without identified source of infection presented again with recurrent PVIE with methicillin sensitive S. aureus, new pulmonic septic emboli, and peri-graft fluid collection on imaging, which was explanted with negative follow-up culture.
Discussion: Through this index case, we describe the unique pathology of recurrent isolated PVIE and explore its diagnostic and management considerations.
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