RIGHT SIDED ENDOCARDITIS: CASE SERIES FROM MOROCCO

Objective: Compared with the extensive data on left sided infective endocarditis, right-sided endocarditis (RSIE) remains a rare condition. It accounts for 5–10% of all cases (IE) [1] [2] [3].Although it is predominantly encountered in injecting drug user (IDU) population, where HIV and HCV infections often coexist, rheumatic heart disease most important predisposing factor IE our context. The aim study to report clinical, investigation, management outcome 5 patients diagnosed RSIE department during last 2 years. Methods: A retrospective analysis right tertiary care center from 2018 2020 was done. Results: All were young aged females none them had cardiac devices or history use. Persistent fever common clinical presentation. Interestingly, 4 presented failure. 3 isolated tricuspid valve IE, one patient pulmonary have both IE. Blood cultures negative two cases, whilst others positive Streptococcus (alpha) Staphylococcus. underwent surgical treatment after well conducted antibiotic therapy indications presence failure secondary severe regurgitation size vegetations. Unfortunately, died massive embolism despite antibiotherapy. Conclusion: occurs wide range underlying conditions like implantable electronic devices, indwelling catheters, CHD immune compromised state. Surprisingly, can occur individuals without known risk factors. In context, incriminated etiology which lead us question three essential points: 1. interest prophylaxis VSDs 2. use empiric antibiotics action against streptococcus 3. Early disease.