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Male patient, 29 years old, stylist and crack addict, admitted to a tertiary hospital owing to edema of the lower limbs, increase of the abdominal volume, chest pain from weight and dyspnea which started four months ago with gradual worsening. There was no change of the markers of myocardial lesion. The patient was being followed up by a general practitioner in his city, he was using furosemide and presented previous history of upper digestive hemorrhage (but could not precisely indicate the date), cirrhosis and anemia due to iron deficiency. He was admitted to the emergency hospital without fever, pale (3+/4), icteric, dyspneic, presenting weight loss and hemodynamically stable.

Infective Endocarditis by Uncommon Microorganism – Klebsiella oxytoca – in Right Heart Chambers