Gonococcal endocarditis during pregnancy: simultaneous cesarean section and aortic valve surgery.
Gonococcal endocarditis is a rare and potentially fatal consequence of disseminated gonococcal infection. Presented is the first known case of culture-proved gonococcal and serratia endocarditis in pregnancy. The case was further complicated by fetal distress at 30 weeks' gestation as a result of maternal decompensation from worsening congestive heart failure secondary to rapid destruction of her aortic valve. Consequently, cardiopulmonary bypass with subsequent aortic valve replacement and implantation of a left ventriculoaortic shunt was initiated immediately after an emergency cesarean section.
D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D002585:Cesarean Section; D004697:Endocarditis, Bacterial / Q000150:complications / Q000601:surgery*; D005260:Female; D006069:Gonorrhea / Q000150:complications / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000601:surgery*; D012706:Serratia marcescens