Embolised injection needle fragment to the heart, mimicking a subcutaneous charm needle.

Dear Editor, Embolisation of a fragmented injection needle to the heart is rare, even in intravenous drug abusers.1 The presence of an embolised needle fragment to the heart can serve as a nidus for infective endocarditis.2 We report a case of recurrent infective endocarditis secondary to needle embolisation to the heart. A 30-year-old Malay man with a history of intravenous drug abuse presented to the emergency department with a 30day history of fl uctuating fever. Four months earlier, he was admitted for methicillin-resistant Staphylococcus aureus infective endocarditis and was treated with intravenous vancomycin and cloxacillin. In this admission, he had a leukocytosis of 26.4 x 109/L and his chest X-ray showed widespread consolidation. Echocardiography showed multiple vegetations on the tricuspid valve. A computed tomography (CT) scan of the Embolised Injection Needle Fragment to the Heart, Mimicking a Subcutaneous Charm Needle