• Arch Intern Med · Dec 1990

    Case Reports

    Group B streptococcus endocarditis following second-trimester abortion.

    • M L Atri and D H Cohen.
    • Department of Internal Medicine, St. John's Episcopal Hospital, Far Rockaway, NY.
    • Arch Intern Med. 1990 Dec 1; 150 (12): 2579-80.

    AbstractAn 18-year-old woman who underwent an elective second-trimester abortion developed Streptococcus agalactiae (group B streptococcus) endocarditis characterized by a large, pedunculated vegetation involving a previously normal tricuspid valve. Polyarthritic symptoms, as well as multiple pulmonary emboli, were experienced, and cure followed a course of treatment using intravenous penicillin G potassium combined with gentamicin sulfate. Endocarditis caused by this pathogen usually occurs among individuals compromised by underlying chronic disorders and, today, is a rare sequela of pregnancy and abortion. When planning therapy, consideration should be given to the possibility of tolerance among clinical isolates and the need for operative intervention in selected patients.

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