Pneumococcal endocarditis involving the pulmonic valve in a patient with HIV

Ishan Shah; Abu Baker Sheikh; Shazib Sagheer; Nismat Javed; Rahul Shekhar

doi:10.1080/08998280.2021.1930926

Pneumococcal endocarditis involving the pulmonic valve in a patient with HIV

Proc (Bayl Univ Med Cent). 2021 Jun 7;34(5):627-628. doi: 10.1080/08998280.2021.1930926. eCollection 2021 Sep.

Authors

Ishan Shah¹, Abu Baker Sheikh¹, Shazib Sagheer², Nismat Javed³, Rahul Shekhar⁴

Affiliations

¹ Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
² Division of Cardiology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.
³ Shifa College of Medicine, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
⁴ Division of Hospital Medicine, Department of Internal Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico.

Abstract

Infective endocarditis in drug users commonly targets the tricuspid valves, whereas pulmonic valve endocarditis is a rare occurrence. Staphylococcus aureus rather than Streptococcus species is the culprit organism. Streptococcal pneumonia is also not commonly seen as an etiological agent for endocarditis. Here we present a case of a 57-year-old man with a history of HIV infection on antiretroviral therapy who was admitted for sepsis and found to have pneumococcal bacteremia with vegetation on a pulmonic valve. He had been vaccinated with both pneumococcal conjugate vaccine 13 and pneumococcal polysaccharide vaccine 23 at the time of his HIV diagnosis. Pulmonic valve endocarditis is unusual in the setting of pneumococcal bacteremia in HIV patients previously vaccinated for pneumococcal disease.

Keywords: Endocarditis; HIV; pneumococcal; pulmonic valve; vaccination.

Publication types

Case Reports