We discuss a unique case of a 52-year-old @entity1 with no history of intravenous drug use or dental procedures who presented with @entity4048 , 2 weeks of fevers, chills, night sweats, cough, and @entity1353 found to have isolated @entity340 ( @entity340 ) @entity884 . The @entity1 did not have an associated murmur, which is commonly seen in right-sided @entity166 . A transthoracic echocardiogram showed a thickened @entity340 leaflet, with subsequent transesophageal echocardiogram showing a @entity340 mass. Speciation of blood cultures revealed @entity9858 . In right-sided @entity884 , usually the tricuspid valve is involved; however, in our case the tricuspid valve was free of any mass or @entity47 . The @entity1 did meet Duke criteria and was thus started on long-term intravenous antibiotics for @entity166 . The @entity1 's symptoms quickly improved with antibiotics. A careful history and evaluating the @entity1 's risk factors are key in earlier detection of @entity884 ( @entity884 ). Because of early detection and a high index of suspicion, the @entity1 had no further complications and did not require any surgery. In conclusion, clinical suspicion of right-sided @entity884 should be high in @entity1 who present with persistent fevers and @entity358 in order to reduce the risk of complications, and to improve outcomes.

Isolated @entity340 presenting as XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'man'] @entity9858 :: ('1303', 'Species') :: ['Streptococcus oralis'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['dyspnea'] @entity4048 :: ('MESH:D019547', 'Disease') :: ['neck pain'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary symptoms'] @entity47 :: ('MESH:D018458', 'Disease') :: ['vegetation'] @entity340 :: ('MESH:D006349', 'Disease') :: ['PV', 'pulmonic valve'] @entity166 :: ('MESH:D003141', 'Disease') :: ['infectious endocarditis'] @entity884 :: ('MESH:D004696', 'Disease') :: ['IE', 'infective endocarditis', 'endocarditis']
@entity4048 :: (MESH:D019547,Disease) :: ['neck pain']
