Document Detail

Bivalvular endocarditis complicating pregnancy. A case report and literature review.
MedLine Citation:
PMID:  7741329     Owner:  NLM     Status:  MEDLINE    
A twenty-nine-year old woman with a history of rheumatic fever and both mitral and tricuspid valve prolapse (without cardiac effects on the echocardiogram) presented with Streptococcus viridans infective endocarditis of both the tricuspid and mitral valves at seventeen weeks' gestation. Twelve weeks before admission she underwent a dental curettage and received presumably adequate antibiotic prophylaxis. The present case was successfully managed by means of aggressive antibiotic therapy appropriate for endocarditis, with adequate and appropriate monitoring of minimal inhibitory concentration and peak and trough levels. This case exhibits the appropriate management in the three phases of therapy for valvular disease, ie prevention, treatment, and subsequent prevention of sequelae, prior to vaginal delivery in a patient with endocarditis. The pregnancy resulted in a term vaginal delivery, without maternal or fetal morbidity.
P V Felice; I L Salom; R Levine
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Angiology     Volume:  46     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-06-06     Completed Date:  1995-06-06     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  441-4     Citation Subset:  IM    
Queens Long Island Medical Group, Uniondale, New York, USA.
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MeSH Terms
Endocarditis, Bacterial* / diagnosis,  therapy
Mitral Valve
Pregnancy Complications, Cardiovascular* / diagnosis,  therapy
Pregnancy Complications, Hematologic* / diagnosis,  therapy
Streptococcal Infections* / diagnosis,  therapy
Tricuspid Valve

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