Group B streptococcal tricuspid valve endocarditis: a case report and review of literature.
Group B streptococcal endocarditis involving the tricuspid valve is an uncommon disease. We describe herein a young healthy woman who developed this disease following an elective abortion. She was treated with penicillin and gentamycin with no response. The patient was operated urgently and recovered. Few reports have described the disease in the last 25 years (our case is the thirteenth). Five of them were IV drug abusers, four patients suffered from debilitating diseases and in five women endocarditis developed following an obstetric procedure. In general the mortality from tricuspid valve endocarditis is low, indeed 2/13 (15%) died. The drug of choice is penicillin with gentamycin.
Department of Medicine A, Rambam Medical Center and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa.
Z S
ZS
Azzam
Y
Y
Ron
I
I
Oren
W
W
Sbeit
D
D
Motlak
N
N
Krivoy
D000032:Abortion, Therapeutic / Q000009:adverse effects*; D000328:Adult; D001705:Bioprosthesis; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D014261:Tricuspid Valve