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USMLE · Question #422

A 37-year-old woman presents to the emergency department with a fever. Chest x-ray film shows multiple patchy infiltrates in both lungs. Echocardiography and blood cultures suggest a diagnosis of acut

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Abnormal Processes

Question

A 37-year-old woman presents to the emergency department with a fever. Chest x-ray film shows multiple patchy infiltrates in both lungs. Echocardiography and blood cultures suggest a diagnosis of acute bacterial endocarditis limited to the tricuspid valve. Which of the following is the most probable etiology?

Options

  • ACongenital heart disease
  • BIllicit drug use
  • CRheumatic fever
  • DRheumatoid arthritis
  • ESystemic lupus erythematosus

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Topics

#tricuspid endocarditis#IV drug use#right-sided endocarditis#septic pulmonary emboli
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