Document Detail


Multivalvular bacterial endocarditis after suction curettage abortion.
MedLine Citation:
PMID:  18669761     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Bacterial endocarditis is a potentially life-threatening disease associated with significant morbidity and mortality. It is estimated that one patient per 1 million will develop endocarditis after elective abortion. CASE: A young woman with no history of cardiac defects developed acute bacterial endocarditis after elective abortion performed without appropriately timed antibiotic prophylaxis. She subsequently required surgical debridement of the tricuspid valve and replacement of the aortic valve. She experienced numerous postoperative sequelae eventually culminating in death. CONCLUSION: Although rare, it is possible to develop multivalvular, right-sided and left-sided endocarditis after elective pregnancy termination in a patient without preexisting cardiac disease. This patient should have received antibiotic prophylaxis before initiation of the suction curettage.
Authors:
Peter C Jeppson; Amy Park; Chi Chiung Grace Chen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  112     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-01     Completed Date:  2008-09-09     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  452-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, OH 44121, USA. jeppsop@ccf.org
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced / adverse effects*
Adult
Endocarditis, Bacterial / etiology*,  surgery
Fatal Outcome
Female
Heart Valve Diseases / etiology*,  surgery
Heart Valve Prosthesis Implantation
Humans
Comments/Corrections
Comment In:
Obstet Gynecol. 2008 Nov;112(5):1179; author reply 1180-1   [PMID:  18978123 ]
Obstet Gynecol. 2008 Nov;112(5):1179-80; author reply 1180-1   [PMID:  18978122 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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