• Obstetrics and gynecology · Aug 2008

    Case Reports

    Multivalvular bacterial endocarditis after suction curettage abortion.

    • Peter C Jeppson, Amy Park, and Chi Chiung Grace Chen.
    • Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, OH 44121, USA. jeppsop@ccf.org
    • Obstet Gynecol. 2008 Aug 1; 112 (2 Pt 2): 452-5.

    BackgroundBacterial 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.CaseA 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.ConclusionAlthough 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.

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