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Case Reports in Infectious Diseases
Volume 2011, Article ID 981316, 6 pages
http://dx.doi.org/10.1155/2011/981316
Case Report

Complicated Community-Acquired Staphylococcus Endocarditis and Multiple Lung Abscesses: Case Report and Review of Literature

1Division of Infectious Diseases, Department of Medicine, King Fahad Medical City, Riyadh 11525, Saudi Arabia
2Division of Pulmonology, Department of Medicine, Ahmadu Bello University, Zaria, Nigeria

Received 30 May 2011; Accepted 26 June 2011

Academic Editors: E. M. Stringer and P. O. Sumba

Copyright © 2011 Musa A. Garbati et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Isolated tricuspid valve endocarditis in the absence of risk factors in the community setting is very rare and can be easily missed in patients with hitherto normal valves. Case Presentation. We present a case of a 49 year old gentleman who presented with generalized body aches, fever, and jaundice and was initial diagnosed as hepatitis. He subsequently developed recurrent episodes of panic attacks and shortness of breath and later multiple skin abscesses. Further investigations excluded pulmonary embolism but revealed multiple abscesses in the body including the lungs. Blood cultures and culture from abscesses grew S. aureus. An initial transthoracic echocardiogram was normal. A transesophageal echocardiogram subsequently confirmed endocarditis on a normal natural tricuspid valve and multiple lung abscesses. He was successfully treated with appropriate antibiotics. Conclusion. We discuss the pathogenesis of this patient's presentation highlight the need for assessment and proper evaluation of patients with unexplained bacteremia.