Infective endocarditis in obstetric and gynecologic practice

Seaworth, Barbara; Durack, David T.

doi:10.1016/0002-9378(86)90422-9

Cited by 48 publications

(23 citation statements)

References 70 publications

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“…The mitral and aortic valves are most often involved, whereas tricuspid valve involvement is less common. 16 Seworth et al reviewed 124 cases of endocarditis in an obstetric and gynecologic population, and found that 25 cases occurred following abortions and 32 cases involved the tricuspid valve. Seven patients in that series had GBS endocarditis.…”

Section: Discussionmentioning

confidence: 99%

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Case report: group B streptococcal bacteremia and sacroiliitis after mid-trimester dilation and evacuation

McKenna

O’Brien

2009

J Perinatol

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Group B streptococcal bacteremia with septic arthritis is a rare complication of second trimester dilation and evacuation, and may cause substantial post-operative morbidity. A 37-year-old gravida 4 para 1-0-2-1 presented with fever and right hip pain on post-operative day 11 from a second trimester dilation and evacuation for fetal trisomy 21. She was initially found to have septic arthritis involving the right sacroiliac joint and group B streptococcal bacteremia. Transesophageal echocardiogram showed a tricuspid valve, vegetation consistent with endocarditis. After prolonged parenteral antibiotic therapy, she developed septic pulmonary emboli that were successfully treated with anticoagulation therapy. Group B streptococcal infection is a potentially serious post-abortion complication that can cause sacroiliitis, endocarditis and septic pulmonary emboli.

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Section: Discussionmentioning

confidence: 99%

“…Seven patients in that series had GBS endocarditis. 16 In a series of 13 patients with GBS endocarditis, Azzam et al 4 reported that four of thirteen occurred after an abortion. All but one patient in this series developed pulmonary emboli.…”

Section: Discussionmentioning

confidence: 99%

Case report: group B streptococcal bacteremia and sacroiliitis after mid-trimester dilation and evacuation

McKenna

O’Brien

2009

J Perinatol

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“…12,13 This incidence is likely lower nowadays as the prevalence of rheumatic valvular heart disease in developing countries has decreased. 14,15 Two overlapping reviews of infective endocarditis pertain to obstetric and gynaecologic practice; the first, covering the years 1940-1983, accounts for 126 cases, 16 and the second, covering the years 1966-2002, accounts for 68 cases, 17 in addition to 9 more cases reported between 2002 and the present. [18][19][20][21][22][23][24][25][26][27] For the purposes of this commentary, 71 cases, including all postpartum or abortion-related cases were reviewed in detail.…”

Section: Pregnancymentioning

confidence: 99%

“…The two most common etiologic agents remained VGS (24.1%) and Staphylococcus aureus (21%). Only four cases of postpartum enterococcal endocarditis 16,27 were identified, three of these being reported prior to 1960, and two of them occurring in the setting of home delivery with forceps. Eleven cases of enterococcal endocarditis following abortion or a dilatation and curettage procedure have been reported, mostly among a.…”

Section: Pregnancymentioning

confidence: 99%

“…Any repaired congenital heart defect with residual defect at the site or adjacent to the site of a prosthetic patch or prosthetic device women with rheumatic valvular heart disease, and occurring prior to 1960. 16 Antibiotic prophylaxis failed to prevent endocarditis in the two cases that described its use: one case occurred in a woman with mitral and aortic prosthetic valves who underwent therapeutic abortion, 26 and the second occurred in a woman with pre-existing rheumatic valvular heart disease following vaginal delivery. 28 Additionally, Streptococcus agalactiae endocarditis developed in two women who received treatment with tetracycline following therapeutic abortion.…”

Section: Pregnancymentioning

confidence: 99%

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Our Patients Do Not Need Endocarditis Prophylaxis for Genitourinary Tract Procedures: Insights From the 2007 American Heart Association Guidelines

Castillo

Magee

Dadelszen

et al. 2008

Journal of Obstetrics and Gynaecology Canada

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The 2007 American Heart Association guidelines for the prevention of infective endocarditis have dramatically reduced both the types of eligible procedures and the types of eligible cardiac lesions that require prophylaxis. Antibiotic prophylaxis to prevent infective endocarditis is not indicated for any patient undergoing obstetric and/or gynaecological procedures, not even for patients with underlying cardiac lesions with the highest risk of developing complications from endocarditis. This sharp departure from previously published guidelines relies on the recognition that endocarditis is more likely to develop from "randomly occurring" bacteremia (e.g., from brushing teeth) than from invasive procedures and that antibiotic prophylaxis has not been proven to be effective. A short discussion on enterococcal infections associated to obstetric and gynaecological procedures and therapeutic implications is presented. RésuméLes lignes directrices 2007 de la American Heart Association en ce qui a trait à la prévention de l'endocardite infectieuse ont entraîné la baisse spectaculaire tant des types d'intervention admissibles que des types de lésion cardiaque admissibles nécessitant une prophylaxie. L'antibioprophylaxie visant à prévenir l'endocardite infectieuse n'est pas indiquée pour quelque patiente devant subir une intervention obstétricale et/ou gynécologique que ce soit, pas même pour les patientes présentant des lésions cardiaques sous-jacentes les exposant au risque le plus élevé de présenter des complications attribuables à l'endocardite. Ce changement brutal, par rapport aux lignes directrices publiées précédemment, se fonde sur la reconnaissance du fait que l'endocardite est plus probablement attribuable à une bactériémie « d'apparition aléatoire » (p. ex. attribuable au fait de se brosser les dents) qu'à l'exécution d'interventions effractives et du fait que l'efficacité de l'antibioprophylaxie n'a pas été prouvée. Une brève discussion au sujet des infections entérococciques associées aux interventions obstétricales et gynécologiques, et de leurs implications thérapeutiques est présentée J Obstet Gynaecol Can 2008;30(9):796-799

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Group B Streptococcus Endocarditis Following Second-Trimester Abortion

Atri¹

1990

Arch Intern Med

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Infective endocarditis in obstetric and gynecologic practice

Cited by 48 publications

References 70 publications

Case report: group B streptococcal bacteremia and sacroiliitis after mid-trimester dilation and evacuation

Case report: group B streptococcal bacteremia and sacroiliitis after mid-trimester dilation and evacuation

Our Patients Do Not Need Endocarditis Prophylaxis for Genitourinary Tract Procedures: Insights From the 2007 American Heart Association Guidelines

Group B Streptococcus Endocarditis Following Second-Trimester Abortion

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