title: [Staphylococcus aureus endocarditis in a puerperal woman with mitral and tricuspid valve prolapse].
abstract: A 17-year-old woman with mitral and tricuspid valve prolapse and myxomatous degeneration presented puerperal infection by Staphylococcus aureus with clinical picture of sepsis and multiple septic embolism (right eye, left thumb, spleen, and left calf). She underwent total hysterectomy on the 10th day postdelivery and right eye enucleation on the 16th. Temporary total AV block occurred on the 14th day with temporary external pacing during the next couple of days. Acute endocarditis with acute mitral regurgitation was diagnosed on the 13th day, demanding immediate valve replacement. On the 46th day she developed moderate tricuspid valve regurgitation due to another episode of endocarditis. Final clinical discharge took place on the 62nd day after antibiotic therapy completion.
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo.
authors.forename: M de B
authors.initials: Mde B
authors.lastname: Pereira
authors.forename: S
authors.initials: S
authors.lastname: Timerman
authors.forename: A
authors.initials: A
authors.lastname: Timerman
authors.forename: A L
authors.initials: AL
authors.lastname: Negrisoli
authors.forename: R F
authors.initials: RF
authors.lastname: Bub
authors.forename: M R
authors.initials: MR
authors.lastname: Smith
authors.forename: N
authors.initials: N
authors.lastname: Akamine
authors.forename: R
authors.initials: R
authors.lastname: Aun
authors.forename: E
authors.initials: E
authors.lastname: Knobel
mesh_terms: D000293:Adolescent; D015150:Echocardiography, Doppler; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D006801:Humans; D008945:Mitral Valve Prolapse / Q000150:complications; D011247:Pregnancy; D011645:Puerperal Infection / Q000209:etiology*; D013203:Staphylococcal Infections; D013211:Staphylococcus aureus / Q000302:isolation & purification; D014263:Tricuspid Valve Prolapse / Q000150:complications
vernacular_title: Endocardite por Staphylococcus aureus no puerpério de portadora de prolapso de valvas mitral e tricúspide.