Severe Pulmonic Valve Endocarditis with Septic Pulmonary Embolism in a Teenager: Case Report
Kantimas Sitthikool¹, Worakan Promphan², Pravit Jetanachai¹
Affiliation : ¹ Department of Medical Services, Division of Pulmonology and Critical Care, Queen Sirikit National Institute of Child Health, College of Medicine, Rangsit University, Bangkok, Thailand; ² Department of Medical Services, Pediatric Heart Center, Queen Sirikit National Institute of Child Health, College of Medicine, Rangsit University, Bangkok, Thailand
A 14-year-old boy with an uneventful past history suffered from one week of high-grade fever and progressive dyspnea. The patient developed necrotizing pneumonia with massive loculated pleural effusion and septic shock. Echocardiogram revealed a small perimembranous VSD with multiple vegetations at pulmonic valve and both pulmonary arteries. Intravenous antibiotic therapy, mechanical ventilatory support, chest tube placement, and intrapleural fibrinolytic therapy were performed. He was clinically improved after eight weeks of antibiotic therapy.
Received 18 September 2023 | Revised 10 January 2024 | Accepted 12 January 2024
DOI: 10.35755/jmedassocthai.2024.1.13937
Keywords : Septic pulmonary embolism; Pulmonic valve endocarditis; Infective endocarditis
