Postpartum group B streptococcal endocarditis associated with mitral valve prolapse.
Although group B streptococci frequently colonize the birth canal of pregnant women, and cause puerperal sepsis in approximately 0.2% of deliveries, recommendations for endocarditis prophylaxis do not include uncomplicated vaginal delivery. Mitral valve prolapse has been reported to represent a low risk for endocarditis and an uncertain risk/benefit ratio for prophylaxis. As the case presented here illustrates, group B streptococcal endocarditis after uncomplicated vaginal delivery can be associated with mitral valve prolapse; patients with additional risk factors for group B streptococcal infection are at particular risk.
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D000328:Adult; D004697:Endocarditis, Bacterial / Q000209:etiology*; D005260:Female; D006509:Hepatitis B / Q000150:complications; D006801:Humans; D008945:Mitral Valve Prolapse / Q000150:complications*; D011247:Pregnancy; D011645:Puerperal Infection / Q000209:etiology*; D012306:Risk; D013290:Streptococcal Infections / Q000209:etiology*; D013292:Streptococcus agalactiae