Gonococcal endocarditis after a threatened abortion. A case report.
BACKGROUND
Disseminated gonocococcal infection arising during pregnancy is an uncommon occurrence. Gonococcemia following a threatened abortion has not been documented previously.


METHODS
Gonococcal arthritis and endocarditis in a 22-year-old primigravida occurred following a midtrimester threatened abortion.


CONCLUSIONS
Since gonococcemia is thought to be secondary to endocervical disruption, chemoprophylaxis in the gravid cardiac patient after a threatened abortion is recommended.
Pantanowitz
L
L
Department of Medicine, Baragwanath Hospital, Johannesburg, South Africa.
Hodkinson
J
J
Zeelie
R
R
Jones
N
N
D000033:Abortion, Threatened / Q000150:complications*; D000328:Adult; D001170:Arthritis, Infectious / Q000150:complications; D016470:Bacteremia / Q000382:microbiology; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006069:Gonorrhea / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000382:microbiology