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Testicular swelling with pneumonia and septicaemia: a rare presentation of right-sided endocarditis

  • Chinnasamy S. Muthukumaran (a1), Poonamallee R. Govindaraj (a2) and Joseph Vettukattil (a1)
Abstract

As far as we are aware, right-sided bacterial endocarditis has not previously been described as presenting with systemic illness and testicular swelling. We report a teenager who presented with this unusual combination as a consequence of right-sided endocarditis. He presented with high fever, with chills and rigor, along with painful enlargement of the left testicle, a productive cough with progressive breathlessness, and joint pains. His blood culture was positive for Staphylococcus aureus, and a computerised tomographic scan of the chest revealed multiple pulmonary emboluses. Ultrasound of the testicles showed features of inflammation, and an echocardiogram revealed a vegetation on the tricuspid valve.

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Corresponding author
Correspondence to: Poonamallee R. Govindaraj, Paediatric Department, Ysbyty Gwynedd, Bangor, Wales LL57 2PW, UK. Tel: +44 7863 127 813; Fax: +44 1248 384 556; E-mail: Julu31@yahoo.co.uk
References
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References

Sandre RM, Shafran SD. Infective endocarditis: Review of 135 cases over 9 years. Clin Infect Dis 1996; 22: 276286.
Milazzo AS Jr, Li JS. Bacterial endocarditis in infants and children. Paediatr Infect Disease J 2001; 20: 799801.
Sons H, Dausch W, Kuh JH. Tricuspid valve repair in right-sided endocarditis. J Heart Valve Dis 1997; 6: 636641.
Sentilhes L, Dunet F, Thoumas D, Khalaf A, Grise P, Pfister C. Segmental testicular infarction: diagnosis and strategy. Can J Urol 2002; 9: 16981701.
Nandakumar R, Raju G. Isolated tricuspid valve endocarditis in non-addicted patients: a diagnostic challenge. Am J Med Sci 1997; 314: 207212.
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Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
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