Acute aortic regurgitation due to endocarditis caused by disseminated gonococcal infection - a case report.

A 23 years old male presented with cough and progressive shortness of breath. Echocardiogram showed a biscupid aortic valve with a large vegetation causing severe regurgitation. Blood cultures were positive for Neisseria gonorrhoeae sensitive to cefotaxime and penicillin. Despite direct antibiotherapy, patient required cardiac surgery with aortic valve replacement.