TRICUSPID-VALVE ENDOCARDITIS IN A NONDRUG ADDICT ASSOCIATED WITH PELIOSIS HEPATIS

A 31-year-old woman was admitted because of persistent remittent fever . Tricuspid valve endocarditis due to Staphylococcus aureus was identi fied as the cause of fever, The patient had no history of intravenous drug abuse, oral contraceptives or predisposing cardiac disease, Huge hepatomegaly was found without any signs of congestive heart failure, Liver enzyme abnormalities were not detected throughout the entire cou rse of therapy, The liver biopsy specimen revealed peliosis hepatis. T reatment with panipenem/betamipron was successful, although recurrent septic pulmonary embolism occurred, The cause of the huge hepatomegaly encountered in the present case may be attributable to peliosis due t o severe infection.