[Septic pulmonary embolism and endocarditis caused by Staphylococcus aureus in the tricuspid valve after infectious abortion. Report of 2 cases].
We report the cases of two patients with septic pulmonary embolism and respiratory failure after septic abortion. Hysterectomy was performed in both patients after unsuccessful uterine curettage and antibiotic therapy for treatment of the infection. The first patient (27 years-old) remained feverish. The blood cultures yielded Staphylococcus aureus. Tricuspid valve endocarditis was identified as the reason for persistent infection. Antibiotic treatment properly planned was administered and the patient was discharged. The second patient (23 years-old) apparently recovered after hysterectomy. Nevertheless, one month later, infection and septic pulmonary embolism recurred. The diagnosis of Staphylococcus aureus tricuspid valve endocarditis was made. Persistent infection unresponsive to medical treatment led to surgical treatment. The patient died after valve replacement. Thus the persistence or recurrence of infection and septic abortion may be due to tricuspid valve endocarditis.
Pimentel
M
M
Barbas
C S
CS
de Carvalho
C R
CR
Takagaki
T Y
TY
Mansur
A J
AJ
Grinberg
M
M
Barbas Filho
J V
JV
D000031:Abortion, Septic / Q000150:complications*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000209:etiology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011655:Pulmonary Embolism / Q000188:drug therapy / Q000209:etiology*; D013203:Staphylococcal Infections / Q000150:complications; D014261:Tricuspid Valve
D000900:Anti-Bacterial Agents
Embolia pulmonar séptica e endocardite por Staphylococcus aureus na valva tricúspide após abortamento infectado. Relato de dois casos.