Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report

Kishan, Raina; Wesley, Shaun R.; Barnett, G H; Kauffman, Robert P.

doi:10.1016/j.crwh.2022.e00398

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…These included 16 cases of IE, seven cases of TTC, six cases of arrhythmia, and five cases of SCAD. The clinical profile, management, and outcomes of these events are described in Tables 1 - 4 [ 11 - 41 ].…”

Section: Resultsmentioning

confidence: 99%

Cardiovascular complications following medical termination of pregnancy: An updated review

Singh,

Mishra,

Vojjala

et al. 2023

World J Cardiol

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The rise in incidence rates of invasive candidiasis warrants an increase in attention and efforts toward preventing and treating this virulent infection. Cardiac involvement is one of the most feared sequelae and has a poor prognosis. Despite the introduction of several novel antifungal agents over the past quarter century, complications and mortality rates due to Candida endocarditis have remained high. Although fungal endocarditis has a mechanism similar to bacterial endocarditis, no specific diagnostic criteria or algorithm exists to help guide its management. Furthermore, recent data has questioned the current guidelines recommending a combined approach of antifungal agents with surgical valve or indwelling prostheses removal. With the emergence of multidrug-resistant Candida auris , a focus on improved prophylactic measures and management strategies is necessary.

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Section: Resultsmentioning

confidence: 99%

Cardiovascular complications following medical termination of pregnancy: An updated review

Singh,

Mishra,

Vojjala

et al. 2023

World J Cardiol

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“…However, this does not imply that it exclusively affects this population group, as on rare occasions, gynecological infections such as septic abortion and puerperal sepsis can also lead to right-sided IE, but this prospect has been underlooked and not been researched and published extensively. Septic abortion may be complicated by IE in ~1 in one million cases 8 .…”

Section: Discussionmentioning

confidence: 99%

Infective endocarditis of tricuspid valve following septic abortion: a case report

Baniya,

Duwadee,

K.C.

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: Right-sided infective endocarditis (IE) in non-intravenous drug users is a rare finding. IE of the tricuspid valve is considered an important but uncommon complication in patients with a recent history of obstetric and gynecological procedures. Case presentation: We report a case of a 28-year-old female with IE of the tricuspid valve with a prior history of dilatation and curettage. The echocardiography revealed two mobile vegetation in the septal leaflet of the tricuspid valve with severe eccentric tricuspid regurgitation. Blood culture was positive for Staphylococcus aureus. The patient was started on intravenous (i.v.) antibiotics with supportive treatments and improved over the days. Clinical discussion: Infection can get access to the venous system via pelvic veins after the septic obstetric and gynecological procedure and subsequently to the right side of the heart. Different studies have highlighted the role of prophylactic antibiotics in significantly reducing post-abortal infections. In our patient, the disease was diagnosed on the basis of clinical, echocardiographic, and blood culture findings, and the patient responded well to i.v. antibiotics and supportive care under close monitoring in the coronary care unit. Conclusion: It is important for healthcare providers to be aware of the risk factors and symptoms associated with right-sided IE for early diagnosis and treatment. Appropriate antibiotic prophylaxis and adherence to sterile techniques can help to prevent IE.

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Tricuspid Valve Infective Endocarditis Following Septic Abortion: A Case Report

Pradhan,

Shrestha,

Dahal

2024

Clinical Case Reports

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The case report examines a rare presentation of tricuspid valve infective endocarditis (TVIE) following a septic abortion. A 31‐year‐old female presented with persistent high‐grade fever, chills, and mild vaginal bleeding post medical termination of pregnancy. Despite initial management for septic abortion, including manual evacuation and antibiotics, her symptoms recurred, necessitating further evaluation. Diagnostic workup revealed methicillin‐resistant Staphylococcus aureus (MRSA) bacteremia and echocardiographic evidence of vegetations on the tricuspid valve. Treatment included targeted intravenous antibiotics and supportive care, but due to family preference, the patient was referred for advanced management. The report underscores the importance of considering endocarditis in patients with unresolved infections post‐gynecological procedures. It highlights the role of blood cultures and echocardiography in diagnosis and emphasizes prophylactic measures and sterile techniques to prevent such complications. This case exemplifies a critical need for prompt multidisciplinary interventions to mitigate morbidity associated with rare but severe sequelae of septic abortion.

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Septic abortion complicated by infective endocarditis, mitral valve vegetation, and septic and reactive arthritis: A case report

Cited by 4 publications

References 10 publications

Cardiovascular complications following medical termination of pregnancy: An updated review

Cardiovascular complications following medical termination of pregnancy: An updated review

Infective endocarditis of tricuspid valve following septic abortion: a case report

Tricuspid Valve Infective Endocarditis Following Septic Abortion: A Case Report

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