Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report
Right-sided infective endocarditis is not as common as left-sided infective endocarditis. The clinical signs and symptoms of right-sided infective endocarditis are subtle, making clinical detection more complex and easily leads to misdiagnosis. We present a case of mild haemoptysis as a presentation...
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| Language: | en |
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Lincoln University College
2022
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| Online Access: | https://eprints.ums.edu.my/id/eprint/43549/1/FULL%20TEXT.pdf https://eprints.ums.edu.my/id/eprint/43549/ https://doi.org/10.31674/mjmr.2022.v06i01.004 |
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| author | Azwanis Abdul Hadi Khairun'naim Khairuddin Mohd Nizamuddin Ismail |
| author_facet | Azwanis Abdul Hadi Khairun'naim Khairuddin Mohd Nizamuddin Ismail |
| author_sort | Azwanis Abdul Hadi |
| building | UMS Library |
| collection | Institutional Repository |
| content_provider | Universiti Malaysia Sabah |
| content_source | UMS Institutional Repository |
| continent | Asia |
| country | Malaysia |
| description | Right-sided infective endocarditis is not as common as left-sided infective endocarditis. The clinical signs and symptoms of right-sided infective endocarditis are subtle, making clinical detection more complex and easily leads to misdiagnosis. We present a case of mild haemoptysis as a presentation of right-sided infective endocarditis but was initially misdiagnosed as pulmonary tuberculosis, which led to a delay in treatment. The patient had multiple visits to the health facilities (private clinic, government’s health clinic and hospital) and one admission to the hospital for recurrent cough, fever, and haemoptysis without any improvement. Later, he was diagnosed with right-sided infective endocarditis and was well after treatment. Delays in treatment can lead to an increased risk of permanent morbidity to the patient. This case report highlights the importance of a high index of suspicion and exploring other differential diagnoses of haemoptysis apart from pulmonary tuberculosis. |
| format | Article |
| id | my.ums.eprints-43549 |
| institution | Universiti Malaysia Sabah |
| language | en |
| publishDate | 2022 |
| publisher | Lincoln University College |
| record_format | eprints |
| spelling | my.ums.eprints-435492025-04-21T03:50:19Z https://eprints.ums.edu.my/id/eprint/43549/ Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report Azwanis Abdul Hadi Khairun'naim Khairuddin Mohd Nizamuddin Ismail RA1-1270 Public aspects of medicine RC306-320.5 Tuberculosis Right-sided infective endocarditis is not as common as left-sided infective endocarditis. The clinical signs and symptoms of right-sided infective endocarditis are subtle, making clinical detection more complex and easily leads to misdiagnosis. We present a case of mild haemoptysis as a presentation of right-sided infective endocarditis but was initially misdiagnosed as pulmonary tuberculosis, which led to a delay in treatment. The patient had multiple visits to the health facilities (private clinic, government’s health clinic and hospital) and one admission to the hospital for recurrent cough, fever, and haemoptysis without any improvement. Later, he was diagnosed with right-sided infective endocarditis and was well after treatment. Delays in treatment can lead to an increased risk of permanent morbidity to the patient. This case report highlights the importance of a high index of suspicion and exploring other differential diagnoses of haemoptysis apart from pulmonary tuberculosis. Lincoln University College 2022 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/43549/1/FULL%20TEXT.pdf Azwanis Abdul Hadi and Khairun'naim Khairuddin and Mohd Nizamuddin Ismail (2022) Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report. Malaysian Journal of Medical Research (MJMR), 6 (1). pp. 14-18. https://doi.org/10.31674/mjmr.2022.v06i01.004 |
| spellingShingle | RA1-1270 Public aspects of medicine RC306-320.5 Tuberculosis Azwanis Abdul Hadi Khairun'naim Khairuddin Mohd Nizamuddin Ismail Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report |
| title | Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report |
| title_full | Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report |
| title_fullStr | Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report |
| title_full_unstemmed | Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report |
| title_short | Right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report |
| title_sort | right-sided infective endocarditis masquerading as pulmonary tuberculosis: a case report |
| topic | RA1-1270 Public aspects of medicine RC306-320.5 Tuberculosis |
| url | https://eprints.ums.edu.my/id/eprint/43549/1/FULL%20TEXT.pdf https://eprints.ums.edu.my/id/eprint/43549/ https://doi.org/10.31674/mjmr.2022.v06i01.004 |
| url_provider | http://eprints.ums.edu.my/ |