{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:04Z","timestamp":1756314604089,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,4,27]]},"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>We present a case of endocarditis secondary to disseminated <jats:italic>Neisseria gonorrhoeae<\/jats:italic> infection affecting the native tricuspid valve. After a thorough workup, our patient was treated conservatively with appropriate intravenous antibiotic therapy for 6\u2009weeks. A follow-up echocardiogram showed resolution of the vegetation without any residual valvular involvement. Literature review reveals 99 cases of infective endocarditis which occurred secondary to <jats:italic>N. gonorrhoeae<\/jats:italic> infection, of which, only 4 cases (6%) affected the tricuspid valve. Through this case report, we highlight the importance of thorough history taking including a sexual and social history, as well as careful recognition of the clinical signs, which helped us reach this uncommon diagnosis while always maintaining a high clinical suspicion of rare causes of endocarditis.<\/jats:p>","DOI":"10.1136\/bcr-2022-249723","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T12:52:11Z","timestamp":1653310331000},"page":"e249723","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["<i>Neisseria gonorrhoeae<\/i> infective endocarditis"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2937-6269","authenticated-orcid":false,"given":"Marylou","family":"Fenech","sequence":"first","affiliation":[{"name":"Infectious Diseases\/ Haematology, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thelma","family":"Xerri","sequence":"additional","affiliation":[{"name":"Infectious Diseases\/ Haematology, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Grech","sequence":"additional","affiliation":[{"name":"Infectious Diseases\/ Haematology, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anette","family":"Portelli","sequence":"additional","affiliation":[{"name":"Infectious Diseases\/ Haematology, Mater Dei Hospital, Msida, Malta"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,5,10]]},"reference":[{"key":"2025082709471906000_15.5.e249723.1","doi-asserted-by":"crossref","unstructured":"Said M , Tirthani E . 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