A 52-year-old man with neither congenital heart disease nor history of
drug abuse had a spiking fever after dental treatment and was diagnos
ed with pneumonia at a local clinic. He was treated with antibiotics a
nd his fever went down. Ten months later, he had again pyrexia and suf
fered from congestive heart failure. He admitted to our hospital and t
ricuspid valve endocarditis was proved by echocardiography. He was tre
ated with penicillin. However, during the treatment, he developed a pu
lmonary embolism. So he underwent surgical treatment. We should take d
ental treatment into account one of predisposing cases of tricuspid en
docarditis.