弥散性全身血栓栓塞合并孤立性三尖瓣心内膜炎

Abstract
Concurrent systemic and pulmonary septic emboli from isolated right-sided infective endocarditis are rare. One mechanism described is that of intrapulmonary shunting. We describe a case of widespread pulmonary and systemic septic embolization with sequelae in an intravenous drug user with concomitant chronic hepatitis C infection and discuss possible mechanisms involved in the pathogenesis.

Keywords
Intrapulmonary shunt; Septic emboli; Tricuspid endocarditis

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Case Report
A 59-year-old intravenous (IV) drug user presented with fever and cough of 1-week duration. He had a history of chronic hepatitis C infection