title: Tricuspid endocarditis following a Papanicolaou smear: case report.
abstract: Infective endocarditis is an uncommon complication of obstetrical and gynecological practice and has not been reported in the literature to be associated with Papanicolaou smears. The authors report a nonintravenous drug user who developed group B streptococcal endocarditis of the tricuspid valve following a routine Papanicolaou smear. She required surgical excision of the valve and replacement after failed antibiotic therapy.
authors.affiliation: Wdlter C Mackenzie Health Sciences Centre, University of Alberta Hospitals, University of Alberta, Edmonton.
authors.forename: K
authors.initials: K
authors.lastname: Mong
authors.forename: D
authors.initials: D
authors.lastname: Taylor
authors.forename: T
authors.initials: T
authors.lastname: Muzyka
authors.forename: D
authors.initials: D
authors.lastname: Freed
authors.forename: A
authors.initials: A
authors.lastname: Koshal
mesh_terms: D000328:Adult; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000209:etiology* / Q000382:microbiology / Q000601:surgery; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D065006:Papanicolaou Test; D013290:Streptococcal Infections / Q000209:etiology / Q000382:microbiology* / Q000601:surgery; D013292:Streptococcus agalactiae / Q000302:isolation & purification; D014261:Tricuspid Valve / Q000382:microbiology* / Q000601:surgery; D014626:Vaginal Smears / Q000009:adverse effects*