Infective endocarditis of tricuspid valve following septic abortion: a case report.

Autor:	Baniya A; Chitwan Medical College Teaching Hospital, Bharatpur., Duwadee P; Chitwan Medical College Teaching Hospital, Bharatpur., K C S; Chitwan Medical College Teaching Hospital, Bharatpur., Shahi M; Chitwan Medical College Teaching Hospital, Bharatpur., Khan A; Chitwan Medical College Teaching Hospital, Bharatpur., Rijal Y; Tribhuvan University Institute of Medicine, Kathmandu, Nepal., Gurung B; Chitwan Medical College Teaching Hospital, Bharatpur., Kurmi RN; Chitwan Medical College Teaching Hospital, Bharatpur.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2023 Nov 01; Vol. 85 (12), pp. 6262-6265. Date of Electronic Publication: 2023 Nov 01 (Print Publication: 2023).
DOI:	10.1097/MS9.0000000000001437
Abstrakt:	Introduction: Right-sided infective endocarditis (IE) in non-intravenous drug users is a rare finding. IE of the tricuspid valve is considered an important but uncommon complication in patients with a recent history of obstetric and gynecological procedures. Case Presentation: We report a case of a 28-year-old female with IE of the tricuspid valve with a prior history of dilatation and curettage. The echocardiography revealed two mobile vegetation in the septal leaflet of the tricuspid valve with severe eccentric tricuspid regurgitation. Blood culture was positive for Staphylococcus aureus . The patient was started on intravenous (i.v.) antibiotics with supportive treatments and improved over the days. Clinical Discussion: Infection can get access to the venous system via pelvic veins after the septic obstetric and gynecological procedure and subsequently to the right side of the heart. Different studies have highlighted the role of prophylactic antibiotics in significantly reducing post-abortal infections. In our patient, the disease was diagnosed on the basis of clinical, echocardiographic, and blood culture findings, and the patient responded well to i.v. antibiotics and supportive care under close monitoring in the coronary care unit. Conclusion: It is important for healthcare providers to be aware of the risk factors and symptoms associated with right-sided IE for early diagnosis and treatment. Appropriate antibiotic prophylaxis and adherence to sterile techniques can help to prevent IE. Competing Interests: There are no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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