[Gonococcal endocarditis. A new case].
The authors report the case of a 35 year old female hospitalised for gonococcal endocarditis with mitral valve vegetations infecting pre-existing asymptomatic rheumatic mitral incompetence. Apyrexia was rapidly obtained with antibiotic therapy; the valvulopathy was well tolerated from the hemodynamic viewpoint; the echocardiographic appearances of the vegetations were stable. However, the patient died during the third week of a cerebral haemorrhage, probably due to rupture of a mycotic arterial aneurysm. The authors suggest that the difficulties encountered in the fight against sexually transmitted diseases may result in a recrudescence of this type of disseminated gonococcal infection.
D000328:Adult; D002543:Cerebral Hemorrhage / Q000150:complications; D004697:Endocarditis, Bacterial / Q000382:microbiology*; D005260:Female; D006069:Gonorrhea / Q000150:complications* / Q000175:diagnosis; D006406:Hematoma / Q000150:complications; D006801:Humans
Endocardite à gonocoque. Un nouveau cas.