Souma T, Yokosawa T, Iwamatsu T, Irisawa T
Department of Cardiovascular Surgery, Takeda General Hospital, Aizuwakamatsu, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Jun;38(6):1035-8.
A 27 weeks' pregnant women exhibited infective endocarditis due to alpha-streptococcus. As echocardiography showed vegetations on both mitral leaflets, cesarean section was performed at 35 weeks' gestation and a healthy male infant weighing 2,430 g was delivered. Antibiotic therapy was continued for fever after the cesarean section but macrohematuria and Osler's nodes developed. Emergency mitral valve replacement was performed successfully despite the presence of active infective endocarditis. She was discharged after completion of a 10-week course of antibiotic therapy.
一名27周妊娠的孕妇因α-链球菌感染患感染性心内膜炎。超声心动图显示二尖瓣叶均有赘生物，于妊娠35周行剖宫产，娩出一名体重2430g的健康男婴。剖宫产后因发热继续抗生素治疗，但出现肉眼血尿和奥斯勒结节。尽管存在活动性感染性心内膜炎，仍成功进行了急诊二尖瓣置换术。完成10周抗生素治疗疗程后她出院了。
