Tricuspid Valve Infective Endocarditis Following Septic Abortion: A Case Report

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL
Rebicca Pradhan, Bibek Shrestha, Agnimshwor Dahal
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Abstract

The case report examines a rare presentation of tricuspid valve infective endocarditis (TVIE) following a septic abortion. A 31-year-old female presented with persistent high-grade fever, chills, and mild vaginal bleeding post medical termination of pregnancy. Despite initial management for septic abortion, including manual evacuation and antibiotics, her symptoms recurred, necessitating further evaluation. Diagnostic workup revealed methicillin-resistant Staphylococcus aureus (MRSA) bacteremia and echocardiographic evidence of vegetations on the tricuspid valve. Treatment included targeted intravenous antibiotics and supportive care, but due to family preference, the patient was referred for advanced management. The report underscores the importance of considering endocarditis in patients with unresolved infections post-gynecological procedures. It highlights the role of blood cultures and echocardiography in diagnosis and emphasizes prophylactic measures and sterile techniques to prevent such complications. This case exemplifies a critical need for prompt multidisciplinary interventions to mitigate morbidity associated with rare but severe sequelae of septic abortion.

Abstract Image

败血性流产后三尖瓣感染性心内膜炎1例
病例报告探讨了一个罕见的三尖瓣感染性心内膜炎(TVIE)后的败血性流产。一名31岁女性在医学终止妊娠后出现持续高热、寒战和轻度阴道出血。尽管对脓毒性流产进行了初步处理,包括人工引流和抗生素治疗,但她的症状复发,需要进一步评估。诊断结果显示耐甲氧西林金黄色葡萄球菌(MRSA)菌血症,超声心动图显示三尖瓣上有植被。治疗包括靶向静脉注射抗生素和支持性护理,但由于家庭偏好,患者被转介进行高级管理。该报告强调了在妇科手术后未解决感染的患者中考虑心内膜炎的重要性。它强调血液培养和超声心动图在诊断中的作用,并强调预防措施和无菌技术,以防止此类并发症。本病例表明迫切需要及时采取多学科干预措施,以减轻与罕见但严重的败血性流产后遗症相关的发病率。
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来源期刊
Clinical Case Reports
Clinical Case Reports MEDICINE, GENERAL & INTERNAL-
自引率
14.30%
发文量
1268
审稿时长
13 weeks
期刊介绍: Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).
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