Postpartum culture negative endocarditis: a case report and review of the current guidelines.
Culture-negative endocarditis (CNE) presents physicians with diagnostic and treatment challenges. Postpartum endocarditis is rare and usually culture negative. Empirical antimicrobial regimes lead to the risk of aggressive treatment with potentially toxic drugs. This paper presents a case of postpartum CNE, discussing the issues of diagnosis and treatment. European and American guidelines for CNE are then reviewed and compared.
Cardiology Department, City Hospital, Birmingham, UK. o.ali@ic.ac.uk
Omar F
OF
Ali
Natasha
N
Ratnaraja
Nazim
N
Nathani
Moninder
M
Bhabra
Chetan
C
Varma
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D010400:Penicillin G / Q000627:therapeutic use; D049590:Postpartum Period; D017410:Practice Guidelines as Topic; D011247:Pregnancy
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D010400:Penicillin G