Abstract
Background: We describe a case and review ten other instances of group B streptococcal endocarditis in the setting of obstetric and gynecologic practice reported since the last review in 1985.
Case: Abortion remains a common antecedent event, but in contrast to earlier reports, most patients did not have underlying valvular disease, the tricuspid valve was most often involved, and mortality was low. Patients with tricuspid valve infection tended to have a subacute course, whereas those with aortic or mitral involvement typically had a more acute, fulminant course.
Conclusion: Despite an improvement in mortality, morbidity remains high, with 8 of 11 patients having clinically significant emboli.
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Selected References
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- Atri M. L., Cohen D. H. Group B streptococcus endocarditis following second-trimester abortion. Arch Intern Med. 1990 Dec;150(12):2579–2580. [PubMed] [Google Scholar]
- Azzam Z. S., Ron Y., Oren I., Sbeit W., Motlak D., Krivoy N. Group B streptococcal tricuspid valve endocarditis: a case report and review of literature. Int J Cardiol. 1998 May 15;64(3):259–263. doi: 10.1016/s0167-5273(98)00052-7. [DOI] [PubMed] [Google Scholar]
- Backes R. J., Wilson W. R., Geraci J. E. Group B streptococcal infective endocarditis. Arch Intern Med. 1985 Apr;145(4):693–696. [PubMed] [Google Scholar]
- Baddour L. M. Infective endocarditis caused by beta-hemolytic streptococci. The Infectious Diseases Society of America's Emerging Infections Network. Clin Infect Dis. 1998 Jan;26(1):66–71. doi: 10.1086/516266. [DOI] [PubMed] [Google Scholar]
- Baker C. N., Thornsberry C., Facklam R. R. Synergism, killing kinetics, and antimicrobial susceptibility of group A and B streptococci. Antimicrob Agents Chemother. 1981 May;19(5):716–725. doi: 10.1128/aac.19.5.716. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bayer A. S., Chow A. W., Anthony B. F., Guze L. B. Serious infections in adults due to group B streptococci. Clinical and serotypic characterization. Am J Med. 1976 Oct;61(4):498–503. doi: 10.1016/0002-9343(76)90329-6. [DOI] [PubMed] [Google Scholar]
- Dajani A. S., Taubert K. A., Wilson W., Bolger A. F., Bayer A., Ferrieri P., Gewitz M. H., Shulman S. T., Nouri S., Newburger J. W. Prevention of bacterial endocarditis. Recommendations by the American Heart Association. JAMA. 1997 Jun 11;277(22):1794–1801. [PubMed] [Google Scholar]
- Farley M. M., Harvey R. C., Stull T., Smith J. D., Schuchat A., Wenger J. D., Stephens D. S. A population-based assessment of invasive disease due to group B Streptococcus in nonpregnant adults. N Engl J Med. 1993 Jun 24;328(25):1807–1811. doi: 10.1056/NEJM199306243282503. [DOI] [PubMed] [Google Scholar]
- Gallagher P. G., Watanakunakorn C. Group B streptococcal bacteremia in a community teaching hospital. Am J Med. 1985 May;78(5):795–800. doi: 10.1016/0002-9343(85)90285-2. [DOI] [PubMed] [Google Scholar]
- Gallagher P. G., Watanakunakorn C. Group B streptococcal endocarditis: report of seven cases and review of the literature, 1962-1985. Rev Infect Dis. 1986 Mar-Apr;8(2):175–188. doi: 10.1093/clinids/8.2.175. [DOI] [PubMed] [Google Scholar]
- Genta P. R., Dias M. L., Janiszewski T. A., Carvalho J. P., Arai M. H., Meireles L. P. Streptococcus agalactiae endocarditis and giant pyomyoma simulating ovarian cancer. South Med J. 2001 May;94(5):508–511. [PubMed] [Google Scholar]
- Kangavari S., Collins J., Cercek B., Atar S., Siegel R. Tricuspid valve group B streptococcal endocarditis after an elective termination of pregnancy. Clin Cardiol. 2000 Apr;23(4):301–303. doi: 10.1002/clc.4960230418. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lerner P. I., Gopalakrishna K. V., Wolinsky E., McHenry M. C., Tan J. S., Rosenthal M. Group B streptococcus (S. agalactiae) bacteremia in adults: analysis of 32 cases and review of the literature. Medicine (Baltimore) 1977 Nov;56(6):457–473. doi: 10.1097/00005792-197711000-00001. [DOI] [PubMed] [Google Scholar]
- Mong K., Taylor D., Muzyka T., Freed D., Koshal A. Tricuspid endocarditis following a Papanicolaou smear: case report. Can J Cardiol. 1997 Oct;13(10):895–896. [PubMed] [Google Scholar]
- Sambola A., Miro J. M., Tornos M. P., Almirante B., Moreno-Torrico A., Gurgui M., Martinez E., Del Rio A., Azqueta M., Marco F. Streptococcus agalactiae infective endocarditis: analysis of 30 cases and review of the literature, 1962-1998. Clin Infect Dis. 2002 May 24;34(12):1576–1584. doi: 10.1086/340538. [DOI] [PubMed] [Google Scholar]
- Schwartz B., Schuchat A., Oxtoby M. J., Cochi S. L., Hightower A., Broome C. V. Invasive group B streptococcal disease in adults. A population-based study in metropolitan Atlanta. JAMA. 1991 Aug 28;266(8):1112–1114. [PubMed] [Google Scholar]
- Scully B. E., Spriggs D., Neu H. C. Streptococcus agalactiae (group B) endocarditis--a description of twelve cases and review of the literature. Infection. 1987 May-Jun;15(3):169–176. doi: 10.1007/BF01646041. [DOI] [PubMed] [Google Scholar]
- Seaworth B. J., Durack D. T. Infective endocarditis in obstetric and gynecologic practice. Am J Obstet Gynecol. 1986 Jan;154(1):180–188. doi: 10.1016/0002-9378(86)90422-9. [DOI] [PubMed] [Google Scholar]
- Strasberg G. D. Postpartum group B streptococcal endocarditis associated with mitral valve prolapse. Obstet Gynecol. 1987 Sep;70(3 Pt 2):485–487. [PubMed] [Google Scholar]
- Vartian C. V., Septimus E. J. Tricuspid valve group B streptococcal endocarditis following elective abortion. Rev Infect Dis. 1991 Sep-Oct;13(5):997–998. doi: 10.1093/clinids/13.5.997. [DOI] [PubMed] [Google Scholar]
