ArticleJACC. Case reports2025
Tricuspid Valve Endocarditis: A Case of Klebsiella pneumoniae With Pulmonic Embolization.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTricuspid valve endocarditis due to Klebsiella pneumoniae is rare but severe, with metastatic complications. CASE SUMMARY: A 39-year-old woman with a history of substance use disorder (SUD) and previous infective endocarditis (IE) presented with fever, necrotizing pneumonia, and vision loss. Transesophageal echocardiography revealed tricuspid valve vegetation, and blood cultures confirmed Kpneumoniae, meeting Duke-ISCVID criteria for IE. Imaging showed septic pulmonary emboli and splenomegaly; retinal detachment was noted, but its link to the IE remained unclear. The patient improved with 6 weeks of ceftriaxone therapy, although valve repair was avoided given high relapse risk. DISCUSSION: Kpneumoniae endocarditis (1.5% of cases) involves aggressive valvular destruction and embolic events. This case highlights diagnostic challenges (negative transthoracic echocardiography), systemic complications, and management dilemmas in patients with SUD. Uncertain retinal detachment linkage emphasizes shunt evaluation in systemic embolization. TAKE-HOME MESSAGES: Maintain high suspicion for tricuspid endocarditis in SUD patients with septic emboli; transesophageal echocardiography is critical. Multidisciplinary care with prolonged antibiotics and harm-reduction strategies is vital.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.