Bacterial Endocarditis of Double-Chamber Right Ventricle

A 13-yrs-old girl had fever for last 4 months. She had significant weight loss during this period. Echocardiography revealed she was having double chamber right ventricle (DCRV). There were large number of vegetations attached right ventricular outflow tract (RVOT) and tricuspid valve. A plain computed tomography chest revealed consolidation of lower lobe of the right lung. Blood culture yielded Staphylococcus aureus which was sensitive to ceftazidime and gentamicin. She was treated adequately for infective endocarditis (IE) for four weeks and was sent for cardiac surgery. This is an extremely rare case report of DCRV associated bacterial endocarditis with evidence of vegetations in the RVOT, over the TV and embolization into lung.

Bacterial Endocarditis of Double-Chamber Right Ventricle