出版社：European HIV/AIDS and Infectious Diseases Academy
摘要：Introduction The eustachian valve is a normal remnant of the right valve of the sinus venosus, which
directs blood in the embryo life from the inferior vena cava into the left atrium through the foramen
ovale.
Case report We report a case of eustachian valve endocarditis (EVE) secondary to Salmonella
typhimurium in a patient with acquired immunodeficiency syndrome (AIDS). The patient also had
concomitant Pneumocystis pneumonia.
Discussion Salmonella bacteremia is one of the AIDS-defining illnesses, and many patients will have
recurrent episodes. Salmonella endocarditis on the other hand is rare, but when present, it has a
significant morbidity and mortality. EVE rarely requires surgical intervention, and the appropriate
antibiotics are the treatment of choice.
Conclusions We recommend clinicians to consider obtaining an echocardiography in AIDS patients
with Salmonella bacteremia to search for possible endocarditis, as it does change the treatment plan.
