RIGHT SIDED INFECTIVE ENDOCARDITIS MASQUERADING AS PULMONARY TUBERCULOSIS: A CASE REPORT

Authors

  • Azwanis Binti Abdul Hadi Department of Family Medicine, Kulliyyah of Medicine, International Islamic University Malaysia
  • Khairun’naim Bin Khairuddin Department of Family Medicine, Kulliyyah of Medicine, International Islamic University Malaysia / Department of Community and Family Medicine, Faculty of Medical and Health Faculty, University Malaysia
  • Mohd Nizamuddin Bin Ismail Department of Community and Family Medicine, Faculty of Medical and Health Faculty, University Malaysia

DOI:

https://doi.org/10.31674/mjmr.2022.v06i01.004

Abstract

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.

Keywords:

Right Sided Infective, Endocarditis, Haemoptysis

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References

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Published

2022-01-01

How to Cite

Azwanis Binti Abdul Hadi, Khairun’naim Bin Khairuddin, & Mohd Nizamuddin Bin Ismail. (2022). RIGHT SIDED INFECTIVE ENDOCARDITIS MASQUERADING AS PULMONARY TUBERCULOSIS: A CASE REPORT. Malaysian Journal of Medical Research (MJMR), 6(1), 14-18. https://doi.org/10.31674/mjmr.2022.v06i01.004