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Case Reports in Surgery
Volume 2015, Article ID 850852, 2 pages
http://dx.doi.org/10.1155/2015/850852
Case Report

Fungal Pulmonary Valve Endocarditis Masquerading as a Pulmonary Embolism

1Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH 43201, USA
2Department of Cardiac Anesthesia, The Ohio State University Wexner Medical Center, Columbus, OH 43201, USA

Received 28 October 2014; Accepted 22 January 2015

Academic Editor: Christophoros Foroulis

Copyright © 2015 Kevin B. Ricci 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

Septic pulmonary emboli (SPE) can be a difficult clinical entity to distinguish from thromboembolic pulmonary embolism (TPE) in a patient with history of IV drug abuse (IVDA). We present a case of a patient who presented with failure to thrive and presumed diagnosis of recurrent PE that ultimately was discovered to have fungal pulmonary valve endocarditis resulting in a right ventricular outflow obstruction. This required replacement of the pulmonary valve and repair of the right ventricular outflow tract. This case highlights difficulty in differentiating pulmonary valve endocarditis with septic emboli from chronic PE in a patient with a complex medical history.