Canadian Health&Care Mall about Right-Sided Native-Valve Endocarditis Caused by Actinobadllus actinomycetemcomitans: Disscusion

endocarditisThe presentation of this case of endocarditis due to A actinomycetemcomitans is typical for this organism. Septicemia with this organism is essentially always associated with endothelial infection, and an abnormal echocardiogram confirmed the diagnosis of endocarditis; however, all previously published cases of native valvular infections with this organism involved the left-sided cardiac valves. In these patients, major emboli were common, occurring in approximately 50 percent of the cases, with cerebral emboli in about
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Canadian Health&Care Mall: Right-Sided Native-Valve Endocarditis Caused by Actinobadllus Actinomycetemcomitans

Actinobadllus actinomycetemcomitansActinobadllus actinomycetemcomitans is an uncommon cause of endocarditis. This organism is a slow-growing, fastidious Cram-negative bacillus normally found in the oral cavity. Approximately 50 cases of endocarditis due to A actinomycetemcomitans have been reported since the first case report in 1964, all involving the native left-sided cardiac valves or prosthetic cardiac valves. The purpose of this report is to document a case of right-sided endocarditis occurring on a native valve due to A actinomycetemcomitans and to stress the value of two-dimensional echocardiographic studies over standard M-mode techniques in the routine assessment of patients with suspected endocarditis.
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