Pregnant intravenous drug user tricuspid valve infective endocarditis treated with a successful simultaneous valve replacement and Cesarean section

Ahres, Abdelkrim; Rubóczky, Gábor; Somogyi, Péter; Kapin, Tibor; Apor, Astrid; Ludwig, Endre; Szekeres, L.; Andrássy, Péter

doi:10.1111/echo.14122

Cited by 3 publications

(2 citation statements)

References 5 publications

(13 reference statements)

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“…Campuzano et al report a 19year-old pregnant patient at 32 weeks gestation with tricuspid IE caused by Streptococcus viridans who delivered a healthy infant on the third day of admission, followed by tricuspid repair several weeks later [5]. Ahres et al report a 30-year-old female with a history of IVDA at 29 weeks gestation presented with tricuspid IE due to MSSA and Streptococcus mitis and underwent simultaneous tricuspid valve replacement and cesarean section on the 9th day of hospitalization [9]. Muretti et al describe a 24-year-old female with a history of IVDA who presented at 22 weeks gestation with mitral valve IE caused by Staphylococcus aureus.…”

Section: Discussionmentioning

confidence: 99%

“…Early formation of a multidisciplinary team (MDT) is imperative for improving outcomes [9,12]. In cases of IE in preterm pregnancies, initial conservative management with narrowed intravenous antibiotics is agreed upon to allow for fetal development [3,9]. While MDTs balance maternal illness and fetal development they need to monitor for surgical indications.…”

Section: Discussionmentioning

confidence: 99%

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Tricuspid valve endocarditis in pregnancy: a case report and review of the literature

Libera

Macaulay

Donato

et al. 2021

Journal of Community Hospital Internal Medicine Perspectives

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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 Staphylococcus aureus 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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Tricuspid valve endocarditis in pregnancy: a case report and review of the literature

Libera

Macaulay

Donato

et al. 2021

Journal of Community Hospital Internal Medicine Perspectives

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Contemporary management of infective endocarditis in pregnancy

Pollock,

Kiernan

2023

Expert Review of Cardiovascular Therapy

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Endocarditis in pregnancy and postpartum: cases in a prospective adult cohort and literature review

Oliveira¹,

Fraife²,

Barbosa³

et al. 2022

HVT

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Objective: Pregnancy and postpartum infective endocarditis (PPIE), although uncommon, is a very serious condition. To describe cases of infectious endocarditis (IE) in in a cohort of adults with IE in a Brazilian center and to review data from the recent literature on the subject. Methods: Cases of definite IE by the modified Duke criteria in adults were retrieved in a contemporary cohort of adults with IE from January 2006 to December 2020. Literature review on the topic was carried out and case reports on PPIE from 2014 to 2020 were compiled. Results: Two cases of PPIE were found in 401 adult patients with IE, with a prevalence of 0.5% in the cohort, of 2/139 (1.4%) among women and 2/83 (2.4%) of women of reproductive age (18 -49 years) in this same cohort. The search for published case reports from 2014 to 2020 resulted in 61 episodes of PPIE; in these, 7 pregnant women (11.4%), 10 fetuses (16.4%) and 1 premature newborn (1.6%) died. There was a previous valve predisposition in 12 (19.7%) cases and intravenous drug use in 14(23%). Left-sided valves were the most frequently affected in 41 (67.2%) of the cases. The most common isolated infectious agent was methicillin sensitive Staphylococcus aureus in 18/61 (29.5%) patients, although as a group, oral viridans streptococci accounted for 16/61 (26.2%). Valve surgery was done for 70% of patients. Conclusions: Intravenous drug use remained to be the main risk factor for IE. Mortality remained high for mothers and their children, despite the fact surgery was done more frequently in the recent cases. In the case of fever without an obvious focus in pregnant or post-partum women, the diagnosis of IE must be readily considered, especially in those with prosthesis and/or intravenous drug use.

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Pregnant intravenous drug user tricuspid valve infective endocarditis treated with a successful simultaneous valve replacement and Cesarean section

Cited by 3 publications

References 5 publications

Tricuspid valve endocarditis in pregnancy: a case report and review of the literature

Tricuspid valve endocarditis in pregnancy: a case report and review of the literature

Contemporary management of infective endocarditis in pregnancy

Endocarditis in pregnancy and postpartum: cases in a prospective adult cohort and literature review

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