Tricuspid valve group B streptococcal endocarditis after an elective termination of pregnancy.
A patient developed fever, chills, and shortness of breath after an elective first trimester dilation and curettage. Blood cultures grew Group B streptococcus, and a transesophageal echocardiogram revealed a 2 x 2 cm vegetation on the tricuspid valve and global left ventricular hypokinesis. A 6-week course of parenteral antibiotics and vasodilator therapy resulted in resolution of the valvular vegetation as well as of the left ventricular dysfunction.
Kangavari
S
S
Department of Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.
Collins
J
J
Cercek
B
B
Atar
S
S
Siegel
R
R
D000032:Abortion, Therapeutic / Q000009:adverse effects*; D000328:Adult; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D013290:Streptococcal Infections / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D013292:Streptococcus agalactiae / Q000302:isolation & purification; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000382:microbiology*; D014665:Vasodilator Agents / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D014665:Vasodilator Agents