[Postpartum group B streptococcal endocarditis of the tricuspid valve].
The B streptococcal endocarditis are very rare. They primarily affect the left heart valves, the achievement of the tricuspid valve is exceptional. We report a young patient aged of 36 years who presented in postpartum a tricuspid endocarditis with streptococcus B. She was treated by third-generation cephalosporin and aminoglycoside. The evolution after 5 days of antibiotic therapy was marked by a rapid valvular destruction with worsening tricuspid insufficiency leading to death of the patient. This is the 23rd case of tricuspid endocarditis streptococcal B reported in the literature. The mortality of this disease reached 36% in the absence of surgical treatment. The medico-surgical approach is the treatment of choice for these patients.
Salih
Hasnaa
H
Centre de Cardiologie, CHU Ibn Rochd, Casablanca, Maroc. hasnaas6@hotmail.com
Guellab
Dounia
D
Zoubidi
Mohammed
M
Bennis
Ahmed
A
D000328:Adult; D004697:Endocarditis, Bacterial / Q000150:complications*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D011644:Puerperal Disorders / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications*; D013292:Streptococcus agalactiae; D014261:Tricuspid Valve / Q000382:microbiology*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology