[Infectious endocarditis of gyneco-obstetric origin. Apropos of 15 cases].
With the object of analyzing current characteristics of post-partum and post-abortum infective endocarditis (IE), authors carried out a retrospective study of 15 cases between september 1985 and may 1992. Mean age was 22.2 +/- 4.0 years. Origin of sepsis was delivery (1 case), abortion (14 cases). There was no underlying cardiac lesion in 9 cases, rheumatic heart disease in 6 cases. Infecting organisms were Staphylococcus aureus (n = 6), streptococcus D (n = 3), Clostridium perfringens (n = 2). There were 10 acute and 5 subacute IE, 7 right-sided, 7 left-sided, and 1 right and left-sided IE. Vegetations were determined by transthoracic echocardiography in 12 cases (80%). The main complications were heart failure (15 cases), and pulmonary or arterial embolism (7 cases). Lethality was 53.3% and was not different in tricuspid acute IE and left-sided IE. Treatment was the more difficult as cardiac surgery is expensive or even inaccessible. Accordingly, prevention is primordial. It consist of antibiotic prophylaxis and fight against illicit abortion.
Nkoua
J L
JL
Service de Cardiologie et Médecine interne, CHU, Brazzaville, Congo.
Kimbally-Kaky
G
G
Ekoba
J
J
Gombet
T
T
Onkani
A H
AH
Oumba
C
C
Bouramoué
C
C
D000028:Abortion, Induced / Q000009:adverse effects*; D000293:Adolescent; D000328:Adult; D002303:Cardiac Output, Low / Q000209:etiology; D003015:Clostridium Infections; D003016:Clostridium perfringens; D036861:Delivery, Obstetric / Q000009:adverse effects*; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology*; D004698:Endocarditis, Subacute Bacterial / Q000000981:diagnostic imaging / Q000209:etiology; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D011247:Pregnancy; D012214:Rheumatic Heart Disease / Q000150:complications; D013203:Staphylococcal Infections; D013290:Streptococcal Infections; D015996:Survival Rate; D014463:Ultrasonography
Endocardite infectieuse à porte d'entrée gynéco-obstétricale. A propos de 15 cas.