Skip to main content
Clinical Cardiology logoLink to Clinical Cardiology
. 2009 Feb 3;23(4):301–303. doi: 10.1002/clc.4960230418

Tricuspid valve group b streptococcal endocarditis after an elective termination of pregnancy

Simon Kangavari 1, Jennifer Collins 1, Bojan Cercek 1, Shaul Atar 1, Robert Siegel 1,
PMCID: PMC6654940  PMID: 10763083

Abstract

A patient developed fever, chills, and shortness of breath after an elective first trimester dilation and curettage. Blood cultures grew Group B streptococcus, and a transesophageal echocardiogram revealed a 2 × 2 cm vegetation on the tricuspid valve and global left ventricular hypokinesis. A 6‐week course of parenteral antibiotics and vasodilator therapy resulted in resolution of the valvular vegetation as well as of the left ventricular dysfunction.

Keywords: tricuspid valve, endocarditis, Group B streptococcus, abortion

Full Text

The Full Text of this article is available as a PDF (295.7 KB).

References

  • 1. Seaworth BJ, Durack DT: Infective endocarditis in obstetric and gynecologic practice. Am J Obstet Gynecol 1986; 154: 180–188 [DOI] [PubMed] [Google Scholar]
  • 2. Ward H: Bacterial endocarditis in pregnancy. Aust N Z J Obstet Gynaecol 1971; 11: 189–191 [DOI] [PubMed] [Google Scholar]
  • 3. Pringle SD, McCartney AC, Marshall DAS, Cobbe S: Infective endocarditis caused by Streptococcus agalactiae. Int J Cardiol 1989; 24: 179–183 [DOI] [PubMed] [Google Scholar]
  • 4. Schwartz B: Invasive group B streptococcal disease in adults. J Am Med Assoc 1991; 266: 1112–1114 [PubMed] [Google Scholar]
  • 5. Scully BE, Spriggs D, New HC: Streptococcus agalactiae (group B) endocarditis: A description of twelve cases and review of literature. Infection 1987; 15 (3): 169–176 [DOI] [PubMed] [Google Scholar]
  • 6. Atri ML, Cohen DH: Group B streptococcus endocarditis following second trimester abortion. Arch Intern Med 1990; 149: 2579–2580 [PubMed] [Google Scholar]
  • 7. Jemsek JG, Gentry LO, Greenberg SB: Malignant group B streptococcal endocarditis associated with saline‐induced abortion. Chest 1979; 76 (6): 695–696 [DOI] [PubMed] [Google Scholar]
  • 8. Vartian CV, Septimus EJ: Tricuspid valve group B streptococcal endocarditis following elective abortion. Rev Infectious Dis 1991; 13: 997–998 [DOI] [PubMed] [Google Scholar]
  • 9. Parillo JE, Burch C, Shelhamer JH: A circulating myocardial depressant substance in humans with septic shock: Septic shock patients with a reduced ejection fraction have a circulating factor that depresses in vitro myocardial cell performance. J Clin Invest 1985; 76: 1539–1553 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10. Parker MM, Shelhamer JH, Bacharach SL: Profound but reversible myocardial depression in patients with septic shock. Ann Intern Med 1984; 100: 483–490 [DOI] [PubMed] [Google Scholar]

Articles from Clinical Cardiology are provided here courtesy of Wiley

RESOURCES