Libera Robert, Macaulay Kyle, Donato Anthony A, Green Jared, McCarty Christine
Internal Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Department of Internal Medicine, Reading Hospital, Reading, PA, USA.
J Community Hosp Intern Med Perspect. 2021 Jan 26;11(1):99-102. doi: 10.1080/20009666.2020.1839236.
Infective endocarditis (IE) is a rare complication in pregnancy that is associated with significant morbidity and mortality to both mother and fetus. We present a case of a 27-year-old female at 22-weeks gestation with a history of intravenous drug abuse (IVDA) who developed methicillin sensitive tricuspid valve endocarditis with persistent bacteremia and septic emboli necessitating tricuspid valve extirpation. Four days later, worsening decompensated heart failure required cesarean section at 23w5d. Although the patient's volume status and dyspnea improved significantly, fetal demise occurred 9 days after operative delivery.
感染性心内膜炎（IE）是妊娠期罕见的并发症，与母婴的高发病率和死亡率相关。我们报告一例27岁、孕22周的女性病例，该患者有静脉药物滥用史，发生了对甲氧西林敏感的三尖瓣心内膜炎，伴有持续性菌血症和脓毒性栓子，需要切除三尖瓣。四天后，失代偿性心力衰竭加重，在孕23周5天时需要进行剖宫产。尽管患者的容量状态和呼吸困难明显改善，但术后分娩9天后胎儿死亡。
