title: [Pneumococcal endocarditis--a rare post partum complication].
abstract: This case report describes a 33-year old woman admitted with sepsis 6 days post partum. No infectious focus was revealed at initial examination. The patient responded moderately to intravenous antibiotics. Positive blood cultures, a systolic murmur and echocardiography revealed severe pneumococcal endocarditis, necessitating surgery. The patient fully recovered. Endocarditis is a rare post partum complication. This case report demonstrates the need for aggressive re-evaluation and involvement of other specialists when the patient does not respond to antibiotic therapy.
authors.affiliation: Gentofte Sygehus, Gynaekologisk-obstetrisk Afdeling G. jannefoss@hotmail.com
authors.forename: Janne Foss
authors.initials: JF
authors.lastname: Berlac
authors.forename: Tina
authors.initials: T
authors.lastname: Olsen
authors.forename: Jens
authors.initials: J
authors.lastname: Hertz
mesh_terms: D000328:Adult; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006801:Humans; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D011644:Puerperal Disorders / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D014463:Ultrasonography