Group B streptococcal endocarditis following elective surgical abortion

Billick, Maxime; Gold, Wayne L.

doi:10.1503/cmaj.181688

Cited by 3 publications

(2 citation statements)

References 9 publications

(18 reference statements)

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“…The reported risk factors that predispose to GBS IE are diabetes mellitus, malignant disease, advanced liver disease, human immunodeficiency virus, alcohol use disorders, and injection drug use[ 50 ]. Surgical abortion has been reported to be an independent risk factor for IE in patients with GBS, irrespective of the presence or absence of underlying structural heart disease or antibiotic prophylaxis before the procedure[ 12 , 13 ]. The Society of Obstetricians and Gynaecologists of Canada recommends antimicrobial prophylaxis for patients who are undergoing surgical abortion to reduce the incidence of post-abortion infections[ 51 ].…”

Section: Discussionmentioning

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: Discussionmentioning

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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“…drug abusers, patients with central venous catheters, and in-situ devices in the heart 1 . However, in some parts of the South Asian region, puerperal sepsis and septic abortion are also reported to be some of the principal causes of isolated right-sided IE 2 . Septic abortions usually result from the application of nonsterile techniques for uterine evacuation, which is likely to be due to inadequate healthcare access or legal as well as personal barriers to receiving professional medical care 3 .…”

Section: Introductionmentioning

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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Interruption volontaire de grossesse et réduction embryonnaire

Beauquier-Maccotta¹

2020

Le Deuil Périnatal

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Group B streptococcal endocarditis following elective surgical abortion

Abstract: Group B streptococci are a cause of infection in pregnant and nonpregnant adults, but infective endocarditis is an uncommon presentation of invasive disease from group B streptococci.

Cited by 3 publications

References 9 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

Interruption volontaire de grossesse et réduction embryonnaire

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