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Osman, S. and Carter, W. (2013) Endocarditis. In: Adams, J.G., et al., Eds., Emergency Medicine Clinical Essentials, 2nd Edition, Elsevier, Philadelphia, 530-546.

has been cited by the following article:

• TITLE: Native Aortic Valve Endocarditis—A Case Report

  AUTHORS: Ramachandran Muthiah

  KEYWORDS: Bicuspid Aortic Valve, Infective Endocarditis, Kissing Vegetations, Acute Aortic Regurgitation, Aortic Valve Replacement

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.7 No.9, September 13, 2018

  ABSTRACT: Introduction: To report a case of isolated “endocarditic” aortic regurgitation in a 17-year old female with infective vegetations on aortic valve. Case Report: A 17-year old female was admitted with features of heart failure and a febrile illness. Blood cultures were negative and ECG revealed normal. Echocardiography revealed a “kissing-type” of vegetation on the bicuspid aortic valve with severe aortic regurgitation and a dilated left ventricle with moderate dysfunction. Conclusion: The management of aortic insufficiency occurring in infective endocarditis may differ and the presence of intractable pulmonary edema or shock is a clear indication for prompt valve replacement. The traditional diagnostic criteria are insufficient to diagnose infective endocarditis and the modified Duke criteria provide high sensitivity and specificity over 80% for the diagnosis of native valve endocarditis with positive blood cultures.