We report a case of methicillin-resistant Staphylococcus aureus (MRSA) endocarditis involving tricuspid valve in small ventricular septal defect with multiple pulmonary embolism. A 36-years-old woman presented with 7 days course of fever and mental abnormality. She had small-sized ventricular septal defect (VSD) and no risk factors for the infection such as history of intravenous drug abuse and hospitalization. Methicillin- resistant Staphylococcus aureus was isolated from all three sets of blood culture drawn on admission and from the huge pulmonary embolus retrieved during operation. Resection of pulmonary emboli and patch repair of ventricular septal defect were done. Teicoplanin was administered for a total of 28 days due to febrile rash associated with vancomycin treatment after operation. She was discharged without complication.
Embolism ; Endocarditis* ; Exanthema ; Female ; Fever ; Heart Septal Defects, Ventricular* ; Hospitalization ; Humans ; Methicillin Resistance* ; Methicillin-Resistant Staphylococcus aureus* ; Pulmonary Embolism* ; Risk Factors ; Staphylococcus aureus ; Substance Abuse, Intravenous ; Teicoplanin ; Tricuspid Valve* ; Vancomycin