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产褥期无乳链球菌感染性心内膜炎。

Infective endocarditis due to Streptococcus agalactiae in the puerperal period.

机构信息

Department of Obstetrics and Gynecology, Showa University Northern Yokohama Hospital, Yokohama-shi, Kanagawa, Japan.

Department of Obstetrics and Gynecology, Showa University Hospital, Shinagawa, Japan.

出版信息

J Obstet Gynaecol Res. 2021 Jun;47(6):2238-2241. doi: 10.1111/jog.14757. Epub 2021 Mar 23.

Abstract

Streptococcus agalactiae, also known as group B Streptococcus, is a species of bacteria occasionally detected in the vagina and/or rectum of pregnant women. This report describes the case of a 33-year-old woman who developed infective endocarditis on puerperal day 17, owing to group B Streptococcus, and required lifesaving surgery. The patient was rushed to our hospital with chief complaints of fever and fatigue. After hospitalization, antibiotics were administered; however, the symptoms did not improve. Following a detailed examination, vegetation was found in the heart, suggestive of infective endocarditis. Surgical removal of the vegetation improved the patient's condition. The development of group B Streptococcus infection and infective endocarditis in a pregnant woman with no risk factors is rare. This case confirms that this patient's life was saved by a timely diagnosis and appropriate therapeutic intervention.

摘要

无乳链球菌又称 B 组链球菌,是一种偶尔在孕妇阴道和/或直肠中检测到的细菌。本报告描述了一例 33 岁女性,于产后第 17 天因 B 组链球菌感染引起感染性心内膜炎,需要进行挽救生命的手术。该患者因发热和乏力紧急转入我院。住院后给予抗生素治疗,但症状未改善。详细检查后发现心脏有赘生物,提示感染性心内膜炎。手术切除赘生物后患者病情改善。该孕妇无危险因素但发生 B 组链球菌感染和感染性心内膜炎较为罕见。本病例证实,及时诊断和适当的治疗干预挽救了该患者的生命。

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