Abstract
The article deals with the case of a patient eith three-week history of fever, which was not responding to antibiotic therapy. Positive blood cultures, pleuropnemumonia and left heart failure were discovered.
The investigation of the causes of septic state was also performed with transesophagealachocardiography with fluttering vegetation at the anterior leaflet of the tricuspid valve assessment. Infective endocarditis was diagnosed based on this findings.
Trianguloid inflammatory infiltration in the lung parenchyma was described at the chest CT examination, corresponding to the probable primarily septic embolisation cause of pleuropneumonia. Infective endocarditis of the differential diagnosis in patients with fever of unknown origin, respiratory symptoms and predisposing diseases and situations such as diabetes mellitus, ischemic defects of the lower extremities, drug abusing or permanent pacing.