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We describe a rare case of bacterial endocarditis with large vegetation and substantial pulmonary embolism. A 29-year-old woman who had acute renal failure after a septic abortion developed tricuspid valve endocarditis with large vegetation, which subsequently resulted in massive embolism to the right main pulmonary artery. The patient presented with symptoms of dyspnoea. Physical examination disclosed non-laboured breathing, with equal breath sounds bilaterally. Laboratory tests showed only leucocytosis and increased levels of C-reactive protein. Chest radiography showed a peripheral right …
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