A 31-year-old male drug abuser presents with fever, chills and multiple bilateral lung abscesses. Right heart endocarditis is suspected. The following is/are true:
A. The organisms most likely responsible are gram-negative and fungal
B. The pulmonic valve is most likely to be affected
C. A negative echocardiogram is useful to exclude the diagnosis
D. Valve replacement is necessary if the native valve is excised to treat infection
Answer:A
A 31-year-old male drug abuser presents with fever, chills and multiple bilateral lung abscesses. Right heart endocarditis is suspected. The following is/are true:
A. The organisms most likely responsible are gram-negative and fungal B. The pulmonic valve is most likely to be affected C. A negative echocardiogram is useful to exclude the diagnosis D. Valve replacement is necessary if the native valve is excised to treat infection