title: Multivalvular infective endocarditis in pregnancy presenting with septic pulmonary emboli.
abstract: A 33-year-old woman presented at 36 weeks gestation with worsening respiratory distress. A CT-pulmonary angiogram was performed to rule out a massive pulmonary embolism; instead, this identified extensive septic pulmonary emboli throughout both lung fields. Given the continuing maternal deterioration, a non-elective caesarean section was performed. A transoesophageal echocardiogram identified multiple large cardiac valve vegetations on both sides of her heart with an associated aortic root abscess. She responded well to a 6-week course of intravenous antibiotics.
authors.affiliation: Department of Obstetrics & Gynaecology, King Edward Memorial Hospital, Subiaco, Western Australia, Australia.
authors.forename: Nicola
authors.initials: N
authors.lastname: English
authors.affiliation: Department of Obstetrics & Gynaecology, Joondalup Health Campus, Joondalup, Western Australia, Australia.
authors.forename: Polly
authors.initials: P
authors.lastname: Weston
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005436:Floxacillin / Q000627:therapeutic use; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000188:drug therapy; D011655:Pulmonary Embolism / Q000175:diagnosis / Q000209:etiology*; D012131:Respiratory Insufficiency / Q000209:etiology; D012293:Rifampin / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D005436:Floxacillin; D012293:Rifampin