Piedimonte Sabrina, Almohammadi Mohammad, Lee Todd C
Department of Obstetrics and Gynecology, McGill University Health Center, Montreal, Canada.
Department of Medicine, McGill University, Montreal, Canada.
Obstet Med. 2018 Mar;11(1):39-44. doi: 10.1177/1753495X17714711. Epub 2017 Sep 1.
Tricuspid valve endocarditis caused by Group B streptococcus is a rare clinical entity with poor prognosis and has been previously reported following gynecologic procedures.
We report a case of an 18-year-old female diagnosed with Group B streptococcus tricuspid valve endocarditis with septic emboli following an elective therapeutic abortion. After six weeks of treatment with ceftriaxone, she returned with recurrent symptoms and was found to have embolized a sizable vegetation to the pulmonary artery with probable lung infarction. She underwent surgical embolectomy and was treated with antibiotics and anticoagulation and was subsequently discharged in stable condition.
Group B streptococcus endocarditis is a serious complication of gynecologic procedures. The role of preoperative antibiotics, postoperative clinical suspicion of endocarditis based on respiratory symptoms and a multidisciplinary approach may lead to enhanced patient outcomes.
B族链球菌引起的三尖瓣心内膜炎是一种临床罕见且预后不良的疾病，此前曾有妇科手术后发生该病的报道。
我们报告一例18岁女性，在择期治疗性流产后被诊断为B族链球菌性三尖瓣心内膜炎并伴有脓毒性栓子。使用头孢曲松治疗六周后，她因症状复发复诊，发现有一大块赘生物栓塞至肺动脉，可能导致肺梗死。她接受了手术取栓，并接受抗生素和抗凝治疗，随后病情稳定出院。
B族链球菌心内膜炎是妇科手术的严重并发症。术前使用抗生素、术后根据呼吸道症状对心内膜炎进行临床怀疑以及采取多学科方法可能会改善患者预后。
